IndividualActive
Kelli Johnson, PH.D.
NPI 1104127448 · Counseling Psychologist · Chicago, IL
Provider details
- NPI number
- 1104127448
- Entity type
- Individual
- Primary specialty
- Counseling PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 071.007472 (IL)
Practice location
405 N Wabash Ave
Suite 4003
Chicago, IL 60611-3591
Phone: (850) 980-2233
Mailing address
5312 N Winthrop Ave
Chicago, IL 60640-2389
Registry dates
- Enumerated
- 2010-11-03
- Last updated
- 2010-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.