Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

James Johnson

Individual provider Professional Counselor · NPI 1083189120

James Johnson is a Mental Health Counselor in Rockford, Illinois. Qualified in 2018, 8 years ago. Practices with Four Corners Wellness Center, Ltd, a 7-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2018
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Practice location Address checks out

695 N Perryville Rd
Rockford, IL 61107-6225
Phone: (779) 368-0060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 180.013190 (IL)

Record details

NPI number1083189120
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 4, 2018
Last updated in NPPESMay 16, 2023
Certification dateMay 16, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Four Corners Wellness Center, Ltd — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Rockford