Provider Demographics
NPI:1366073744
Name:JOHNSON, HANNAH (LPC)
Entity type:Individual
Prefix:
First Name:HANNAH
Middle Name:
Last Name:JOHNSON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 N DIANNE LN
Mailing Address - Street 2:
Mailing Address - City:MAHOMET
Mailing Address - State:IL
Mailing Address - Zip Code:61853-9188
Mailing Address - Country:US
Mailing Address - Phone:920-723-9769
Mailing Address - Fax:
Practice Address - Street 1:2000 P ST NW STE 410
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20036-6922
Practice Address - Country:US
Practice Address - Phone:222-644-8904
Practice Address - Fax:202-450-3931
Is Sole Proprietor?:No
Enumeration Date:2020-02-04
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.016521101Y00000X
DCPRC200002136101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor