Dr Benton Kurt Johnson Ii, PHD, LCPC, LMHC, NCC - Counselor in Moline, IL

Dr Benton Kurt Johnson Ii, PHD, LCPC, LMHC, NCC is a Counselor - Mental Health based in Moline, Illinois. Dr Benton Kurt Johnson Ii is licensed to practice in Illinois (license number 180-006524) and his current practice location is 2424 40th Ave Apt 6, Moline, Illinois. He can be reached at his office (for appointments etc.) via phone at (309) 269-3100.

NPI number for Dr Benton Kurt Johnson Ii is 1326264060 and his current mailing address is 2424 40th Ave, Suite 5, Moline, Illinois. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1326264060.

Contact Information

Dr Benton Kurt Johnson Ii, PHD, LCPC, LMHC, NCC
2424 40th Ave Apt 6,
Moline, IL 61265-7215
(309) 269-3100
(888) 243-3903

Map and Direction


Healthcare Provider's Profile

Full NameDr Benton Kurt Johnson Ii
GenderMale
SpecialityCounselor - Mental Health
Location2424 40th Ave Apt 6, Moline, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1326264060
  • Provider Enumeration Date: 04/18/2007
  • Last Update Date: 07/25/2021

Medical Identifiers

Medical identifiers for Dr Benton Kurt Johnson Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326264060NPI-NPPES
208164344OtherILEI PROVIDER #

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 180006524 (Illinois)Secondary
101YM0800XCounselor - Mental Health 001063 (Iowa)Secondary
101YP2500XCounselor - Professional 180006524 (Illinois)Secondary
222Q00000XDevelopmental Therapist (* (Not Available))Secondary
101YM0800XCounselor - Mental Health 180-006524 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Benton Kurt Johnson Ii is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Benton Kurt Johnson Ii, PHD, LCPC, LMHC, NCC
2424 40th Ave, Suite 5,
Moline, IL 61265-7215

Ph: (309) 269-3100
Dr Benton Kurt Johnson Ii, PHD, LCPC, LMHC, NCC
2424 40th Ave Apt 6,
Moline, IL 61265-7215

Ph: (309) 269-3100

Reviews and Comments


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