KARLI JOHNSON (NPI# 1023525292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023525292 |
| Entity Type | Individual |
| Full Name | KARLI JOHNSON |
| Other Name | KARLI DIEKHOFF |
| Credential | LCPC, ATR |
| Practice Address |
200 W Monroe St Ste C7 Bloomington IL 61701 |
| Mailing Address |
200 W. Monroe St. Box 23 Bloomington IL 61701-3997 |
| Practice Telephone | 3092870610 |
| Mailing Telephone | 3092870610 |
| Enumeration Date | 2018-01-09 |
| Last Update Date | 2019-12-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 14137156 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 400 Union St, Bloomington, IL 617011674 | 3092870610 | |
| 2310 E Oakland, Suite 11b, Bloomington, IL 61701 | 3092616129 | 3096630209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477002244 | Karli Johnson | Speech-Language Pathologist | 19 Robinson Rd, Clinton, NY 13323-1418 | 2016-09-22 |
| 1164725727 | Karli Johnson | Massage Therapist | 960 Liberty St Se Ste 170, Salem, OR 97302-4149 | 2010-12-20 |
| Street Address |
200 W MONROE ST STE C7 |
| City | BLOOMINGTON |
| State | IL |
| Zip Code | 61701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073151510 | Mackenzie Rae Jones | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701-3997 | 2019-12-16 |
| 1295221984 | Creative Healing Art Therapy, LLC | Counselor | 200 W Monroe St Ste C7, Bloomington, IL 61701-3997 | 2018-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140964 | County of Mclean | Community/Behavioral Health | 200 W Front St, 1st Floor Sw, C/o 200 W Front St, Suite 400f, Bloomington, IL 61701 | 2019-05-22 |
| 1487172409 | Melody Ann Bauman | Physician Assistant | 1505 Eastland Dr, Osf Critical Cane, Pulmonary, Sleep M, Bloomington, IL 61701 | 2017-08-30 |
| 1215396288 | Heidi Larsen | Social Worker | 902 S East St, Bloomington, IL 61701 | 2016-02-18 |
| 1558735126 | Andrea E. Andrews Counseling LLC | Counselor | 200 W. Monroe St., Ste 302 C, Bloomington, IL 61701 | 2015-11-19 |
| 1174924856 | Carole Hahn | Dietitian, Registered | 1406 Forrest St, Bloomington, IL 61701 | 2014-09-12 |
| 1558786392 | Valerie Colleen Parker | Counselor | 109 W. Mulberry St., Bloomington, IL 61701 | 2014-03-04 |
| 1124459219 | Matilde Francois | Surgery | 1505 Eastland Dr Ste 2300, Bloomington, IL 61701 | 2013-11-27 |
| 1922435114 | Smitha H Shivaprasad | Pharmacist | 2611 East Oakland Avenue, Bloomington, IL 61701 | 2013-10-02 |
| 1295161941 | Ashvin Patel | Obstetrics & Gynecology | 31 Country Club Pl, Bloomington, IL 61701 | 2013-09-25 |
| 1114276177 | Cynthia Johnson | Occupational Therapist | 2200 East Washington St, Bloomington, IL 61701 | 2012-09-06 |
| Find all providers in zip 61701 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265075162 | Angela Emily Brodine | Counselor | 5301 Hyland Greens Dr Apt 702, Bloomington, MN 55437-3909 | 2019-10-23 |
| 1184280141 | Holly Ann Wonders Myers | Counselor | 209 S Prospect Rd Ste 1, Bloomington, IL 61704-4697 | 2019-05-15 |
| 1326502246 | Jacqueline Clare Vermaat | Counselor | 418 N Main St Fl 1, Bloomington, IL 61701-3916 | 2019-01-24 |
| 1275006215 | Cameron Lee Small | Counselor | 9156 Vincent Ave S, Bloomington, MN 55431 | 2019-01-02 |
| 1891286191 | Jefferson Williams | Counselor | 211 N Veterans Pkwy Ste 1, Bloomington, IL 61704-3568 | 2018-05-22 |
| 1437663275 | Counseling Resource Institute LLC | Counselor | 2422 E Washington St Ste 107, Bloomington, IL 61704-1611 | 2017-11-30 |
| 1629596812 | Mental Wellness Center Inc | Counselor | 202 N Prospect Rd Ste 207, Bloomington, IL 61704 | 2017-09-07 |
| 1457728206 | Faye Freeman-smith | Counselor | 2416 E Washington St Ste A2, Bloomington, IL 61704-1608 | 2015-08-27 |
| 1902289994 | John Leslie Freshour | Counselor | 616 Iaa Dr, Bloomington, IL 61701-2225 | 2015-07-08 |
| 1669851234 | Amy Leigh Strohman | Counselor | 5414 W Old Shakopee Cir, Bloomington, MN 55437-2766 | 2015-05-28 |
| Find all providers in BLOOMINGTON | ||||
| City | BLOOMINGTON |
| Zip Code | 61701 |
Please comment or provide details below to improve the information on KARLI JOHNSON.
| 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.