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

Nicole Marie Johnson

Individual provider Mental Health Counselor · NPI 1770170995

Nicole Marie Johnson is a Mental Health Counselor in Mattoon, Illinois. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

750 Broadway Ave E
Mattoon, IL 61938-4610
Phone: (217) 238-5700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1770170995
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 22, 2020
Last updated in NPPESDecember 22, 2020
Certification dateDecember 22, 2020
Mailing address750 Broadway Ave E, Mattoon, IL 61938-4610

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