NICOLE JOHNSON BA
NPI 1356093272
Counselor - Mental Health in Dekalb, IL

Active since January 21, 2022
12 HEALTH SERVICES DR, DEKALB, IL 60115(815) 756-4875 Get Directions Write a Review

NPPES record last updated: January 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Johnson Ba NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE JOHNSON BA (NPI 1356093272) is an individual mental health provider in Dekalb, Illinois and active in the NPI registry since January 2022.

NPPES Registry Identity

NPI1356093272
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE JOHNSONCredential: BA
Location Address12 HEALTH SERVICES DRDekalb, IL 60115-9637
Mailing AddressPo Box 1109Dekalb, IL 60115-7109 · (815) 756-4875
Sole ProprietorYes
Enumeration DateJanuary 21, 2022
NPPES CertifiedJanuary 21, 2022
NPI 1356093272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
12 HEALTH SERVICES DR, Dekalb, IL 60115

Other Identifiers 1

Medicaid474579189001IL

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Counselor (Mental Health)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Counselor
12 HEALTH SERVICES DR
DEKALB, IL 60115
Social Worker
12 HEALTH SERVICES DR
DEKALB, IL 60115
Counselor (Mental Health)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Counselor (Mental Health)
12 HEALTH SERVICES DR
DEKALB, IL 60115
Social Worker
12 HEALTH SERVICES DR
DEKALB, IL 60115
Social Worker
12 HEALTH SERVICES DR
DEKALB, IL 60115

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 Nicole Johnson's NPI number?

The NPI number for Nicole Johnson is 1356093272. It was assigned to this individual provider in the NPPES registry on January 21, 2022.

Where is Nicole Johnson located?

Nicole Johnson practices at 12 Health Services Dr, Dekalb, IL 60115. The listed phone number is (815) 756-4875.

What is Nicole Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Nicole Johnson was last updated on January 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.