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MS. JENNIFER REBECCA JOHNSON LCSW
NPI 1366455008
Social Worker - Clinical in Peoria, IL

Active since August 14, 2006PECOS Enrolled
7717 N ORANGE PRAIRIE RD, PEORIA, IL 61615(309) 589-6800(309) 589-6993 Get Directions Write a Review

NPPES record last updated: April 11, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Jennifer Rebecca Johnson Lcsw NPPES

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

MS. JENNIFER REBECCA JOHNSON LCSW (NPI 1366455008) is an individual clinical provider in Peoria, Illinois, licensed in Illinois (149.013441) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366455008
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. JENNIFER REBECCA JOHNSONCredential: LCSW
Location Address7717 N ORANGE PRAIRIE RDPeoria, IL 61615-9323
Mailing Address6538 N Allen Rd Apt 74Peoria, IL 61614-2489 · (309) 589-6800 · Fax (309) 589-6993
Phone(309) 589-6800
Fax(309) 589-6993
Sole ProprietorYes
Enumeration DateAugust 14, 2006
Last NPPES UpdateApril 11, 2013
✔ NPI 1366455008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IL · 149.013441
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

7717 N ORANGE PRAIRIE RD, Peoria, IL 61615
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jennifer Rebecca Johnson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61615 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MRS. SUZANNE BRASCHE LCSW
Social Worker (Clinical)
7717 N ORANGE PRAIRIE RD
PEORIA, IL 61615
Peoria County (309) 589-6800
DR. LARA PEDRETTI O.D.
Optometrist
7717 N ORANGE PRAIRIE RD
PEORIA, IL 61615
Peoria County (309) 589-6800
MS. LORI A CHEEK LCSW
Social Worker (Clinical)
7717 N ORANGE PRAIRIE RD, BOB MICHEL CBOC
PEORIA, IL 61615
Peoria County (309) 589-6800
MRS. CYNTHIA L.M. SWIGART CFNP
Nurse Practitioner (Family)
7717 N ORANGE PRAIRIE RD
PEORIA, IL 61615
Peoria County (309) 589-6800
DR. JOAN RAE HUDSON PSYD
Psychologist (Clinical)
7717 N ORANGE PRAIRIE RD
PEORIA, IL 61615
Peoria County (309) 589-6800
DR. WOO YONG LEE M.D.
Internal Medicine
7717 N ORANGE PRAIRIE RD, BOB MICHEL VA OUTPATIENT CLINIC
PEORIA, IL 61615
Peoria County (309) 589-6800
DR. SARAH BETH BIRK D.O.
Family Medicine
7717 N ORANGE PRAIRIE RD
PEORIA, IL 61615
Peoria County (309) 589-6800
DR. STEPHANIE LYNN HOLT-DEHNER PH.D.
Psychologist (Clinical)
7717 N ORANGE PRAIRIE RD
PEORIA, IL 61615
Peoria County (309) 589-6800

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 Jennifer Johnson's NPI number?

The NPI number for Jennifer Johnson is 1366455008. It was assigned to this individual provider in the NPPES registry on August 14, 2006.

Where is Jennifer Johnson located?

Jennifer Johnson practices at 7717 N Orange Prairie Rd, Peoria, IL 61615. The listed phone number is (309) 589-6800.

What is Jennifer Johnson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jennifer Johnson enrolled in Medicare?

Yes. Jennifer Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Johnson was last updated on April 11, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.