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MRS. GINA JOHNSON LCPC
NPI 1437595253
Counselor - Professional in Peoria, IL

Active since May 20, 2013PECOS EnrolledAccepts Medicare Assignment
530 NE GLEN OAK AVE, PEORIA, IL 61637(309) 655-2738 Get Directions Write a Review

NPPES record last updated: May 20, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Gina Johnson Lcpc NPPES

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

MRS. GINA JOHNSON LCPC (NPI 1437595253) is an individual professional provider in Peoria, Illinois, licensed in Illinois (180.007124) and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1437595253
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. GINA JOHNSONCredential: LCPC
Location Address530 NE GLEN OAK AVEPeoria, IL 61637-0001
Mailing Address1926 Colt DrWashington, IL 61571-9241 · (309) 472-4609
Phone(309) 655-2738
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateMay 20, 2013
✔ NPI 1437595253 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in IL · 180.007124
530 NE GLEN OAK AVE, Peoria, IL 61637
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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 and accepts Medicare assignment

Mrs. Gina Johnson Lcpc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355792821
PECOS Enrollment IDI20240109002437
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.

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.

DR. DEEPAK S NAIR M.D.
Psychiatry & Neurology (Neurology)
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
DR. HAMID MAHMOOD ZIA M.D
Pathology (Anatomic Pathology & Clinical Pathology)
530 NE GLEN OAK AVE, CENTRAL ILLINOIS PATHOLOGY SC
PEORIA, IL 61637
Peoria County (309) 624-9011
THOMAS JAMES MCMORROW MD
Pediatrics
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2553
ERIC TYLER AMPARAN MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2274
ALEXANDRA ROPER MD
Surgery
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
JAPMEHR KAUR SANDHU M.B.B.S.
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 624-9351
THOMAS BLACKWELL JR. MD
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2000
LUKE KLOFT
Student in an Organized Health Care Education/Training Program
530 NE GLEN OAK AVE
PEORIA, IL 61637
Peoria County (309) 655-2109

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 Gina Johnson's NPI number?

The NPI number for Gina Johnson is 1437595253. It was assigned to this individual provider in the NPPES registry on May 20, 2013.

Where is Gina Johnson located?

Gina Johnson practices at 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-2738.

What is Gina Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Gina Johnson enrolled in Medicare?

Yes. Gina Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Gina Johnson was last updated on May 20, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.