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MR. KENNETH ROBERT JOHNSON L.C.P.C.
NPI 1649531542
Counselor - Professional in Chicago, IL

Active since June 06, 2012
5710 N BROADWAY ST, CHICAGO, IL 60660(872) 235-0626 Get Directions Write a Review

NPPES record last updated: September 14, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kenneth Robert Johnson L.c.p.c. NPPES

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

MR. KENNETH ROBERT JOHNSON L.C.P.C. (NPI 1649531542) is an individual professional provider in Chicago, Illinois, licensed in Illinois (180.010434) and active in the NPI registry since June 2012.

NPPES Registry Identity

NPI1649531542
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMR. KENNETH ROBERT JOHNSONCredential: L.C.P.C.
Location Address5710 N BROADWAY STChicago, IL 60660-4302
Mailing Address5710 N Broadway StChicago, IL 60660-4302 · (872) 235-0626
Phone(872) 235-0626
Sole ProprietorNo
Enumeration DateJune 6, 2012
Last NPPES UpdateSeptember 14, 2016
✔ NPI 1649531542 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 · 180.010434
5710 N BROADWAY ST, Chicago, IL 60660
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Other Providers at the Same Location NPPES 17

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

ALICIA KANE LCSW
Social Worker (Clinical)
5710 N BROADWAY ST
CHICAGO, IL 60660
Cook County (224) 301-3749
MINDY DARDON LCPC
Counselor (Professional)
5710 N BROADWAY ST
CHICAGO, IL 60660
Cook County (773) 728-1000
DEANNA ELIZABETH DAMIANO LCPC
Counselor (Professional)
5710 N BROADWAY ST
CHICAGO, IL 60660
Cook County (872) 235-0498
LORI GENDRON
Counselor (Professional)
5710 N BROADWAY ST
CHICAGO, IL 60660
Cook County (773) 728-1000
DR. HUGO PORTILLO PHARMD
Pharmacist
5710 N BROADWAY ST
CHICAGO, IL 60660
Cook County (773) 728-2310
BRITTLYN RILEY-MEADE LCPC
Counselor (Professional)
5710 N BROADWAY ST
CHICAGO, IL 60660
Cook County (773) 765-0368
MS. RUTH SOLOMON TUPPER RN
Registered Nurse (Psychiatric/Mental Health)
5710 N BROADWAY ST
CHICAGO, IL 60660
Cook County (773) 728-1000
CHRISTINA MARIE MALDONADO LCSW
Social Worker (Clinical)
5710 N BROADWAY ST
CHICAGO, IL 60660
Cook County (773) 728-1000

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 Kenneth Johnson's NPI number?

The NPI number for Kenneth Johnson is 1649531542. It was assigned to this individual provider in the NPPES registry on June 6, 2012.

Where is Kenneth Johnson located?

Kenneth Johnson practices at 5710 N Broadway St, Chicago, IL 60660. The listed phone number is (872) 235-0626.

What is Kenneth 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 Kenneth Johnson was last updated on September 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.