JAMES JOHNSON – Counselor, NPI 1083189120

JAMES JOHNSON is a healthcare provider. based in Freeport, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 180.013190 (IL). The NPI Number for JAMES JOHNSON is 1083189120

Main info

Male
8 Years Of Experience
Accepts Medicare Assignment
Name
JAMES JOHNSON
NPI
1083189120
Phone
Not provided
Address
PO BOX 813
Enumeration Date
4 October 2018
Last Update Date
16 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8153748887
Graduation Year
2018 (8 years ago)
PAC ID
7113370289
Group Practice PAC ID
3971017625
Professional Enrollment ID
I20240125002251
Address ID
IL611118644LO4001XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:7State licenses:1Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

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Provider Addresses for JAMES JOHNSON

  • PO BOX 813

    FREEPORT, IL 610320813

    Phone:

    Type: Mailing

  • West Exchange Street, Freeport, Stephenson County, Illinois, 61032, United States

    FREEPORT, IL 610324008

    Phone: (815) 599-7300

    Type: Location

  • 695 N PERRYVILLE RD

    ROCKFORD, IL 611076225

    Phone: (779) 368-0060

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240125002251IMental Health CounselorILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61032)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3971017625View full group profile
NameSpecialtyState
Mental Health CounselorIL
Mental Health CounselorIL
Mental Health CounselorIL
Clinical Social WorkerIL
Clinical Social WorkerIL
Clinical Social WorkerIL

Reviews

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Frequently asked questions

What unique ID ties claims to JAMES JOHNSON?
NPI 1083189120 is assigned to JAMES JOHNSON under the national enumeration system.
Is JAMES JOHNSON active in the national directory?
JAMES JOHNSON's public NPI profile is in an active state.
What does JAMES JOHNSON treat or focus on?
Patients typically see JAMES JOHNSON under the specialty Counselor. Clinical services aligned with this taxonomy classification.
What location shows for JAMES JOHNSON?
We surface Freeport, Illinois for JAMES JOHNSON based on available NPPES addresses.
Is JAMES JOHNSON a real provider?
This page reflects official NPPES data for NPI 1083189120. Always confirm identity and privileges with the practice and licensing boards.

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