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KATHERINE M JOHNSON LCSW
NPI 1750939476
Social Worker - Clinical in Addison, IL

Active since August 27, 2019PECOS EnrolledAccepts Medicare Assignment
228 E LAKE ST, ADDISON, IL 60101(630) 835-1430 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 8, 2023, Aug 27, 2019 (2 updates tracked since 2019).

About Katherine M Johnson Lcsw NPPES

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

KATHERINE M JOHNSON LCSW (NPI 1750939476) is an individual clinical provider in Addison, Illinois, licensed in Illinois (149021455) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1750939476
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHERINE M JOHNSONCredential: LCSW
Location Address228 E LAKE STAddison, IL 60101-2889
Mailing Address6821 S Halsted StChicago, IL 60621-1833 · (773) 651-3629
Phone(630) 835-1430
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 27, 2019
Last NPPES UpdateMay 8, 20232 updates tracked since enumeration
NPPES CertifiedMay 8, 2023
✔ NPI 1750939476 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 · 149021455
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.
228 E LAKE ST, Addison, IL 60101
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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

Katherine M Johnson Lcsw 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.

PECOS PAC ID6204166671
PECOS Enrollment IDI20190927000191
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 Reassignments

2

Medicare enrollment records show Katherine Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Garden Health Group LLC
12 mi
Clinical
414 CLINTON PLACE, SUITE 106
River Forest, IL 60305
  • Reassigned Medicare billing, Illinois enrollment
  • 4 clinicians in this Medicare group
NPI 1639975881 (708) 866-6766
Beloved Community Family Wellness Center
23 mi
Primary Care
6821 S HALSTED ST
Chicago, IL 60621
  • Reassigned Medicare billing, Illinois enrollment
  • 41 clinicians in this Medicare group
NPI 1760408439 (773) 765-1382

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 60101 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 $59.81 – $181.38
Typical copayment $0.00 (range $14.95 – $45.34)
Most-billed visit code NA
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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 11

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

MERILYN RIVERA FNP-C
Nurse Practitioner (Primary Care)
228 E LAKE ST
ADDISON, IL 60101
Dupage County (630) 835-1430
DR. B DAVID DAS PHD
Psychologist (Clinical)
228 E LAKE ST
ADDISON, IL 60101
Dupage County (630) 835-1430
JAELYN WINGARD
Social Worker
228 E LAKE ST
ADDISON, IL 60101
Dupage County (630) 835-1430
JULIA HALL LPC
Counselor (Mental Health)
228 E LAKE ST
ADDISON, IL 60101
Dupage County (630) 835-1430
AMRIT KAUR SINGH
Social Worker (Clinical)
228 E LAKE ST
ADDISON, IL 60101
Dupage County (630) 835-1430
HAMDARD HEALTH ALLIANCE
Clinic/Center (Federally Qualified Health Center (FQHC))
228 E LAKE ST
ADDISON, IL 60101
Dupage County (630) 835-1430
GRACE BENSTEIN PA-C
Physician Assistant
228 E LAKE ST
ADDISON, IL 60101
Dupage County (630) 835-1430
MOHAMMAD HAMID
Psychologist (Clinical)
228 E LAKE ST
ADDISON, IL 60101
Dupage County (630) 835-1430

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 1750939476. It was assigned to this individual provider in the NPPES registry on August 27, 2019.

Where is Katherine Johnson located?

Katherine Johnson practices at 228 E Lake St, Addison, IL 60101. The listed phone number is (630) 835-1430.

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Katherine Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine Johnson reassigns Medicare benefits to 2 organizations: Garden Health Group LLC (River Forest, IL) and Beloved Community Family Wellness Center (Chicago, IL). Each 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.

When was this NPI record last updated?

The NPPES record for Katherine Johnson was last updated on May 8, 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.