KATIE MARIE JOHNSON
NPI 1720767395
Counselor - Mental Health in Bloomington, IL
Active since July 12, 2023
About Katie Marie Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATIE MARIE JOHNSON (NPI 1720767395) is an individual mental health provider in Bloomington, Illinois and active in the NPI registry since July 2023.
NPPES Registry Identity
NPI1720767395
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameKATIE MARIE JOHNSON
Location Address108 W MARKET STBloomington, IL 61701-3918
Mailing Address108 W Market StBloomington, IL 61701-3918 · (309) 827-5351
Phone(309) 827-5351
Sole ProprietorYes
Enumeration DateJuly 12, 2023
NPPES CertifiedJuly 12, 2023
✔ NPI 1720767395 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
108 W MARKET ST, Bloomington, IL 61701
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.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720767395, enumerated as an "individual" on July 12, 2023.
The provider is located at 108 W MARKET ST BLOOMINGTON, IL 61701 and the phone number is (309) 827-5351.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
