SAM JOHNSON LCPC
NPI 1528349636
Counselor - Professional in Waukegan, IL

Active since September 01, 2011
3002 GRAND AVE, WAUKEGAN, IL 60085(847) 377-8261 Get Directions Write a Review

NPPES record last updated: September 1, 2011. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Sam Johnson Lcpc NPPES

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

SAM JOHNSON LCPC (NPI 1528349636) is an individual professional provider in Waukegan, Illinois, licensed in Illinois (180000986) and active in the NPI registry since September 2011.

NPPES Registry Identity

NPI1528349636
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameSAM JOHNSONCredential: LCPC
Location Address3002 GRAND AVEWaukegan, IL 60085-2321
Mailing Address3002 Grand AveWaukegan, IL 60085-2321 · (847) 377-8261
Sole ProprietorNo
Enumeration DateSeptember 1, 2011
NPI 1528349636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in IL · 180000986
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 26412 (IL)
3002 GRAND AVE, Waukegan, IL 60085

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.

Counselor (Addiction (Substance Use Disorder))
3002 GRAND AVE
WAUKEGAN, IL 60085
Counselor
3002 GRAND AVE
WAUKEGAN, IL 60085
Registered Nurse
3002 GRAND AVE
WAUKEGAN, IL 60085
Registered Nurse
3002 GRAND AVE
WAUKEGAN, IL 60085
Counselor (Mental Health)
3002 GRAND AVE
WAUKEGAN, IL 60085
Counselor (Addiction (Substance Use Disorder))
3002 GRAND AVE
WAUKEGAN, IL 60085
Counselor (Mental Health)
3002 GRAND AVE
WAUKEGAN, IL 60085
Counselor (Mental Health)
3002 GRAND AVE
WAUKEGAN, IL 60085

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 Sam Johnson's NPI number?

The NPI number for Sam Johnson is 1528349636. It was assigned to this individual provider in the NPPES registry on September 1, 2011.

Where is Sam Johnson located?

Sam Johnson practices at 3002 Grand Ave, Waukegan, IL 60085. The listed phone number is (847) 377-8261.

What is Sam Johnson's specialty?

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

When was this NPI record last updated?

The NPPES record for Sam Johnson was last updated on September 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.