Address: 136 E Chestnut St, Chicago, IL 60611

JOHNA PETERSON (NPI# 1841776515) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1841776515
Entity Type Individual
Gender Female
Practice Address 136 E Chestnut St
IL 60611
Practice Telephone 4193660552
Mailing Address 2041 W North Ave Apt 3
IL 60647-9638
Mailing Telephone 4193660552
Enumeration Date 2018-07-16
Last Update Date 2018-07-16
Is Sole Proprietor N


Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
N 101Y00000X Counselor Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 136 E CHESTNUT ST
State IL
Zip Code 60611

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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1447820766 Nicole Glass Counselor 420 E Ohio St Apt 14c, Chicago, IL 60611-4651 2021-06-29
1093385569 Keila Pope Counselor 3708 N Ashland Ave, Chicago, IL 60613-5272 2021-06-28
1790352888 Rebecca Ebben Counselor 1616 N Damen Ave Ste 301, Chicago, IL 60647-5536 2021-06-07
1912573494 Elizabeth Quinn Davis Counselor 155 N Michigan Ave Ste 444, Chicago, IL 60601-7511 2021-06-03
1285209098 Charlene Mack Counselor 47 W Division St Ste 211, Chicago, IL 60610-2954 2021-05-24
1033793757 Traci Patterson Lcpc Cadc Pllc · Intuitive Therapy Chicago Counselor 203 N La Salle St Ste 2100, Chicago, IL 60601-1226 2021-05-09
1013590215 Falechia N Turman Counselor 5080 N Elston Ave, Chicago, IL 60630-2459 2021-05-04
1538741780 Jameelah Brown-Williams Counselor 2500 W 111th St Apt 1s, Chicago, IL 60655-1301 2021-04-27
1457937542 Jamila Ford Counselor 5425 W Van Buren St, Chicago, IL 60644-4745 2021-03-20
1124603857 Liana Ramon Counselor 1525 E 53rd St Ste 1009, Chicago, IL 60615-4547 2021-03-15
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Zip Code 60611

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.