MRS. DOMINI MARIE JOHNSON M.S., LCPC, NCC,CDVP
NPI 1659609121
Counselor - Professional in South Holland, IL
About Mrs. Domini Marie Johnson M.s., Lcpc, Ncc,cdvp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. DOMINI MARIE JOHNSON M.S., LCPC, NCC,CDVP (NPI 1659609121) is an individual professional provider in South Holland, Illinois, licensed in Illinois (180004580) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS and is a graduate of Other (1999).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Domini Marie Johnson M.s., Lcpc, Ncc,cdvp 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.
Medicare Billing Reassignment
Medicare enrollment records show Domini Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chicago, IL 60623
- Reassigned Medicare billing, Illinois enrollment
- 383 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Domini Johnson's NPI number?
The NPI number for Domini Johnson is 1659609121. It was assigned to this individual provider in the NPPES registry on November 22, 2009.
Where is Domini Johnson located?
Domini Johnson practices at 16417 Evans Ave, South Holland, IL 60473. The listed phone number is (708) 362-3916.
What is Domini Johnson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Domini Johnson enrolled in Medicare?
Yes. Domini 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.
Which organization bills Medicare for Domini Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Domini Johnson reassigns Medicare benefits to Erie Family Health Center Inc (Chicago, IL). 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 Domini Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Domini Johnson was last updated on April 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Mrs. Domini Marie Johnson, M.S., LCPC, NCC,CDVP · NPI 1659609121
Professional provider in South Holland, Illinois. Individual provider, active in the CMS NPPES registry since November 22, 2009.
## Identity
- **NPI:** 1659609121 (Entity type: Individual)
- **Enumerated:** November 22, 2009
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 180004580 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 16417 EVANS AVE, South Holland, IL 60473-2350
- **Phone:** (708) 362-3916
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Erie Family Health Center Inc (NPI 1043407547, Chicago, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1999
## Record status
- **NPPES last updated:** April 11, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1659609121) · Data from the CMS NPPES public registry.