Anita Johanson Maddox is a Lake Villa, Illinois based counselor who is specialized as Professional Counselor. Active license number of Anita Johanson Maddox is AM47190798P for Developmental Therapist in Illinois. Her current practice location is 89 Cedar Ave, Lake Villa. Patients can book an appointment with her at 847-265-7300.
Anita Johanson Maddox is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. She uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Complete Profile:
Anita Johanson Maddox speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Anita Johanson Maddox
Specialization:
Professional Counselor
Gender:
Female
Credentials:
LCPC
Accepts Medicare Assignment:
No
Practice Address:
89 Cedar Ave, Lake Villa, Illinois, 60046-8411
Phone:
847-265-7300
Fax:
847-265-7301
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1770623407
NPI Enumeration Date:
08 Feb, 2007
NPI Last Update On:
21 Sep, 2010
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Anita Johanson Maddox are as mentioned below.
License Number
Specialization
State
Status
AM47190798P
Developmental Therapist
Illinois
Primary
180004644
Professional Counselor
Illinois
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Anita Johanson Maddox such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
04932271
Other
Illinois
BLUE SHIELD
710957905
Other
Illinois
FEIN
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Po Box 764, Lake Villa, Illinois
Zip:
60046-0764
Phone Number:
847-265-7300
Fax Number:
847-265-7301
Patients can reach Anita Johanson Maddox at 89 Cedar Ave, Lake Villa, Illinois or can call to book an appointment on 847-265-7300. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.