Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1144868357 Individual Practitioner Female Practitioner

Bethany Ann Johnson

Counselor - Mental Health • Beloit, WI

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Bethany Johnson is a registered healthcare professional specializing in Counselor - Mental Health in Beloit, WI. Official NPI practice address is registered at 2240 PRAIRIE AVE.

Practice Location & Contact Primary Location

Practice Address

2240 Prairie Ave

Beloit, WI 535112648

Telephone 0863617200
Associated Practice Facility / Clinic
🏢 Pelock Chiropractic Llc Facility NPI 1649641101

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Mental Health in Beloit, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.3 Yrs
State Avg: 13.7 Yrs
Regional Practice Density
21 Specialists

Practicing in Beloit, WI (2681 Statewide)

Telehealth Adoption Rate
9.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-02-09
Counselor - Mental Health Primary Specialty

NUCC Taxonomy Code: 101YM0800X

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
474579189001 (IL)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

37 Associated Practitioners
Diana Johnson , LPN

Licensed Practical Nurse

NPI 1083162697

Licensed Practical Nurse

Kristina Stanis , BA, SAC-IT

Counselor - Addiction (Substance Use Disorder)

NPI 1124682679

Bachelor of Arts, SACIT

Cynthia Yount , RN

Registered Nurse

NPI 1134592223

Registered Nurse

Breanna Adams , SAC-IT

Counselor - Addiction (Substance Use Disorder)

NPI 1134747009

SACIT

Chassidy Olson , SAC-IT

Counselor - Addiction (Substance Use Disorder)

NPI 1164201471

SACIT

Camryn Withrow , SAC-IT

Counselor - Addiction (Substance Use Disorder)

NPI 1215684451

SACIT

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location February 09, 2023

Registered at 2240 PRAIRIE AVE, BELOIT, WI 535112648 (Tel: 0863617200)

📍
Updated Business Mailing Address February 09, 2023

Registered at 2240 PRAIRIE AVE, BELOIT, WI 535112648 (Tel: 0836167200)

NPI Profile Active December 18, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location December 18, 2019

Registered at 631 S 1ST ST, DEKALB, IL 601154117 (Tel: 8157568501)

📍
Updated Business Mailing Address December 18, 2019

Registered at 4982 HUMMINGBIRD TRL, LOVES PARK, IL 611111970 (Tel: 8159854088)

👤
Provider Name / Credentials Updated December 18, 2019

Recorded as BETHANY JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2019

Counselor

🟢
Initial NPI Registration & Enumeration December 18, 2019

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Bethany Johnson. Be the first to share your experience!

Sign in to leave a review for Bethany Johnson

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1144868357
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 18, 2019
Last Update: February 09, 2023
Sole Proprietor: Yes

Mailing Address

2240 Prairie Ave

Beloit, WI 535112648

Phone: 0836167200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.