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

Mr. Derron Johnson Jr., LCPC

Individual provider Professional Counselor · NPI 1225718026

Mr. Derron Johnson Jr., LCPC is a Mental Health Counselor in Chicago, Illinois. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Illinois.

Years since qualifying
5
Licensed in
IL
In the registry since
2023
What do these letters mean?
LCPC — Licensed Clinical Professional Counselor
A licensed clinical counsellor.

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Practice location Address checks out

6712 S Wabash Ave Apt 1F
Chicago, IL 60637-3966
Phone: (773) 936-7886
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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 180.017784 (IL)

Record details

NPI number1225718026
Entity typeIndividual (Type 1)
GenderMale
Credentials LCPC
Sole proprietorYes
NPI enumeratedJuly 18, 2023
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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