NISA JOHNSON COUNSELING LLC
NPI 1295469559
Clinic/Center - Mental Health (Including Community Mental Health Center) in Normal, IL
About Nisa Johnson Counseling Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NISA JOHNSON COUNSELING LLC (NPI 1295469559) is a healthcare organization registered as a mental health (including community mental health center) in Normal, Illinois and active in the NPI registry since July 2022. The organization lists Nisa Johnson, Licensed Clinical Social Worker, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Nisa Johnson Counseling Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Nisa Johnson Counseling LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nisa Johnson Counseling LLC's NPI number?
The NPI number for Nisa Johnson Counseling LLC is 1295469559. It was assigned to this organization in the NPPES registry on July 13, 2022.
Where is Nisa Johnson Counseling LLC located?
Nisa Johnson Counseling LLC is located at 1100 Beech St Bldg 10-1, Normal, IL 61761. The listed phone number is (309) 750-0415.
What is Nisa Johnson Counseling LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.
Is Nisa Johnson Counseling LLC enrolled in Medicare?
Yes. Nisa Johnson Counseling LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Nisa Johnson Counseling LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Nisa Johnson Counseling LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Nisa Johnson Counseling LLC was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nisa Johnson Counseling Llc · NPI 1295469559
Mental Health (Including Community Mental Health Center) organization in Normal, Illinois. Organization record, active in the CMS NPPES registry since July 13, 2022.
## Identity
- **NPI:** 1295469559 (Entity type: Organization)
- **Enumerated:** July 13, 2022
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Nisa Johnson, LICENSED CLINICAL SOCIAL WORKER
## Practice location
- **Address:** 1100 BEECH ST BLDG 10-1, Normal, IL 61761-1568
- **Phone:** (309) 750-0415
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Clinical Social Worker) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 26, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1295469559) · Data from the CMS NPPES public registry.