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KATHERINE EILEEN JOHNSON LCSW
NPI 1639404908
Social Worker - Clinical in Springfield, IL

Active since October 05, 2009PECOS Enrolled
901 S 2ND ST STE 201, SPRINGFIELD, IL 62704(423) 486-0774 Get Directions Write a Review

NPPES record last updated: May 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 9, 2023, Apr 13, 2023 (2 updates tracked since 2023).

About Katherine Eileen Johnson Lcsw NPPES

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

KATHERINE EILEEN JOHNSON LCSW (NPI 1639404908) is an individual clinical provider in Springfield, Illinois, licensed in Illinois (149.014404) and active in the NPI registry since October 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1639404908
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHERINE EILEEN JOHNSONCredential: LCSW
Location Address901 S 2ND ST STE 201Springfield, IL 62704-7909
Mailing Address1101 W 40th St Unit 2225Chattanooga, TN 37409-1379 · (877) 358-2998 · Fax (423) 405-6346
Phone(423) 486-0774
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateOctober 5, 2009
Last NPPES UpdateMay 9, 20232 updates tracked since enumeration
NPPES CertifiedMay 9, 2023
✔ NPI 1639404908 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 · 149.014404
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.
901 S 2ND ST STE 201, Springfield, IL 62704
Open in Google Maps ↗

Other Names 1

Former Name (1)Katherine Eileen Kennedy

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Eileen Johnson Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7517147945
PECOS Enrollment IDI20110202000330
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.

Medicare Billing Reassignment

Medicare enrollment records show Katherine Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Elu LLC
411 mi
Mental Health
1312 SPRING CREEK RD
Chattanooga, TN 37412
  • Reassigned Medicare billing, Illinois enrollment
  • 5 clinicians in this Medicare group
NPI 1396222394 (423) 486-0774

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62704 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 2

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

HEIDI JOHNSON
Counselor (Professional)
901 S 2ND ST STE 201
SPRINGFIELD, IL 62704
Sangamon County (877) 358-2998
DR. AIDAN JAMES CREAMER AUD
Audiologist
901 S 2ND ST STE 201
SPRINGFIELD, IL 62704
Sangamon County (877) 674-1211

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 Katherine Johnson's NPI number?

The NPI number for Katherine Johnson is 1639404908. It was assigned to this individual provider in the NPPES registry on October 5, 2009. The provider is also known as Katherine Eileen Kennedy.

Where is Katherine Johnson located?

Katherine Johnson practices at 901 S 2nd St Ste 201, Springfield, IL 62704. The listed phone number is (423) 486-0774.

What is Katherine Johnson's specialty?

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

Is Katherine Johnson enrolled in Medicare?

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

Which organization bills Medicare for Katherine Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Johnson reassigns Medicare benefits to Elu LLC (Chattanooga, TN). The 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 Katherine Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Katherine Johnson accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 7 other insurers list Katherine Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Katherine Johnson was last updated on May 9, 2023. 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.