Nisa Johnson Counseling LLC
NPI 1295469559 · Mental Health Clinic/Center (Including Community Mental Health Center) · Normal, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nisa Johnson Counseling LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Normal, IL (NPI 1295469559).
Provider details
- NPI number
- 1295469559
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nisa Johnson, Licensed Clinical Social Worker(309) 750-0415
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-07-13
- Last updated
- 2022-10-26
- Certified
- 2022-10-26
Frequently asked questions
- What is Nisa Johnson Counseling LLC's NPI number?
- Nisa Johnson Counseling LLC's National Provider Identifier (NPI) is 1295469559, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Nisa Johnson Counseling LLC?
- Nisa Johnson Counseling LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Nisa Johnson Counseling LLC located?
- Nisa Johnson Counseling LLC's practice location on file with NPPES is 1100 Beech St Bldg 10-1, Normal, IL 61761-1568.
- What is Nisa Johnson Counseling LLC's phone number?
- The practice phone number listed in the NPPES registry for Nisa Johnson Counseling LLC is (309) 750-0415.
- Does Nisa Johnson Counseling LLC accept Medicare?
- Nisa Johnson Counseling LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Nisa Johnson Counseling LLC?
- The authorized official listed on Nisa Johnson Counseling LLC's NPPES record is Nisa Johnson, Licensed Clinical Social Worker. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Nisa Johnson Counseling LLC's NPI active?
- Yes — Nisa Johnson Counseling LLC's NPI (1295469559) is active in the NPPES registry as of the last update on 2022-10-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.