JEANNIE JOHNSON (MS, LCPC, CADC) – Professional Counselor, NPI 1861715963

JEANNIE JOHNSON (MS, LCPC, CADC) is a healthcare provider. based in Newton, Illinois. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials MS, LCPC, CADC. They hold a License No. 22063 (IL). The NPI Number for JEANNIE JOHNSON (MS, LCPC, CADC) is 1861715963

Main info

Female
26 Years Of Experience
Name
JEANNIE JOHNSON (MS, LCPC, CADC)
NPI
1861715963
Phone
(618) 783-4154
Address
106 EDWARDS ST
Enumeration Date
4 March 2010
Last Update Date
4 March 2010

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2000 (26 years ago)
PAC ID
2961713169
Professional Enrollment ID
I20250602001813
Address ID
IL624481736NE106XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

2,307 MENTAL HEALTH COUNSELOR in IL

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Provider Addresses for JEANNIE JOHNSON (MS, LCPC, CADC)

  • 106, Edwards Street, Newton, Jasper County, Illinois, 62448, United States

    NEWTON, IL 624481736

    Phone: (618) 783-4154

    Fax: (618) 783-2339

    Mailing address matches the actual address.

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: 2025-06-02

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
I20250602001813IMental 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 62448)

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Reviews

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Frequently asked questions

How do I look up JEANNIE JOHNSON (MS, LCPC, CADC) by NPI?
Use NPI 1861715963 when you need to reference JEANNIE JOHNSON (MS, LCPC, CADC) in forms, claims, or directories.
Does this profile mean JEANNIE JOHNSON (MS, LCPC, CADC) is currently active?
Yes — JEANNIE JOHNSON (MS, LCPC, CADC) appears active in the national provider directory.
What field does JEANNIE JOHNSON (MS, LCPC, CADC) work in?
You can think of JEANNIE JOHNSON (MS, LCPC, CADC) as practicing within Professional Counselor. Clinical services aligned with this taxonomy classification.
Where is JEANNIE JOHNSON (MS, LCPC, CADC)'s primary listing?
We display Newton, Illinois because that is what the record indicates for JEANNIE JOHNSON (MS, LCPC, CADC).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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