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MRS. TAYLOR PAIGE JOHNSON LICSW
NPI 1114889458
Social Worker - Clinical in Moorhead, MN

Active since November 25, 2025PECOS Enrolled
819 30TH AVE S STE 102, MOORHEAD, MN 56560(218) 979-3560(218) 284-1080 Get Directions Write a Review

NPPES record last updated: December 19, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 19, 2025, Dec 12, 2025, Nov 25, 2025 (3 updates tracked since 2025).

About Mrs. Taylor Paige Johnson Licsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TAYLOR PAIGE JOHNSON LICSW (NPI 1114889458) is an individual clinical provider in Moorhead, Minnesota, licensed in Minnesota (32051) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1114889458
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. TAYLOR PAIGE JOHNSONCredential: LICSW
Location Address819 30TH AVE S STE 102Moorhead, MN 56560-5000
Mailing Address819 30th Ave S Ste 102Moorhead, MN 56560-5000 · (218) 979-3560 · Fax (218) 284-1080
Phone(218) 979-3560
Fax(218) 284-1080
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 25, 2025
Last NPPES UpdateDecember 19, 20253 updates tracked since enumeration
NPPES CertifiedDecember 19, 2025
✔ NPI 1114889458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MN · 32051
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
819 30TH AVE S STE 102, Moorhead, MN 56560
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Taylor Paige Johnson Licsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527546191
PECOS Enrollment IDI20260204001143
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56560 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $168.28
Typical copayment $0.00 (range $14.00 – $42.07)
Most-billed visit code NA
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTIN APPEL LSW
Social Worker
819 30TH AVE S STE 102
MOORHEAD, MN 56560
Clay County (218) 979-4475
LISA ELAINE LIVINGSTON MS, LPCC, LADC
Counselor (Mental Health)
819 30TH AVE S STE 102
MOORHEAD, MN 56560
Clay County (218) 979-3560
TABITHA CADMUS LPC
Counselor (Mental Health)
819 30TH AVE S STE 102
MOORHEAD, MN 56560
Clay County (218) 979-3560
GREATER MINNESOTA COMMUNITY SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
819 30TH AVE S STE 102
MOORHEAD, MN 56560
Clay County (218) 979-3560
MS. MARANDA LEE DONAHUE LPC
Counselor (Mental Health)
819 30TH AVE S STE 102
MOORHEAD, MN 56560
Clay County (218) 979-3560
DEBORAH ANN DOBBINS
Counselor (Mental Health)
819 30TH AVE S STE 102
MOORHEAD, MN 56560
Clay County (218) 979-3560

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Taylor Johnson's NPI number?

The NPI number for Taylor Johnson is 1114889458. It was assigned to this individual provider in the NPPES registry on November 25, 2025.

Where is Taylor Johnson located?

Taylor Johnson practices at 819 30th Ave S Ste 102, Moorhead, MN 56560. The listed phone number is (218) 979-3560.

What is Taylor Johnson's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Taylor Johnson enrolled in Medicare?

Yes. Taylor Johnson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Taylor Johnson was last updated on December 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.