MRS. GEORGIA MARIE JOHNSON LPCC, LPC, RTC
NPI 1376803957
Counselor - Professional in Fargo, ND
About Mrs. Georgia Marie Johnson Lpcc, Lpc, Rtc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. GEORGIA MARIE JOHNSON LPCC, LPC, RTC (NPI 1376803957) is an individual professional provider in Fargo, North Dakota and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS and is a graduate of Other (1996).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Georgia Marie Johnson Lpcc, Lpc, Rtc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Georgia Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fargo, ND 58103
- Reassigned Medicare billing, North Dakota enrollment
- Medicare enrollment name: Southeast Human Service Center
- 91 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FARGO, ND 58103
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 Georgia Johnson's NPI number?
The NPI number for Georgia Johnson is 1376803957. It was assigned to this individual provider in the NPPES registry on May 17, 2012.
Where is Georgia Johnson located?
Georgia Johnson practices at 2624 9th Ave S, Fargo, ND 58103. The listed phone number is (701) 298-4500.
What is Georgia Johnson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Georgia Johnson enrolled in Medicare?
Yes. Georgia Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Georgia Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Georgia Johnson reassigns Medicare benefits to Southeast Behavioral Health Clinic (Fargo, ND). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Georgia Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Georgia Johnson accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Georgia Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Georgia Johnson was last updated on April 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.
# Mrs. Georgia Marie Johnson, LPCC, LPC, RTC · NPI 1376803957
Professional provider in Fargo, North Dakota. Individual provider, active in the CMS NPPES registry since May 17, 2012.
## Identity
- **NPI:** 1376803957 (Entity type: Individual)
- **Enumerated:** May 17, 2012
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Sole proprietor:** No
## Practice location
- **Address:** 2624 9TH AVE S, Fargo, ND 58103-2350
- **Phone:** (701) 298-4500 · **Fax:** (701) 298-4400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Southeast Behavioral Health Clinic (NPI 1932146941, Fargo, ND), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1996
## Record status
- **NPPES last updated:** April 8, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1376803957) · Data from the CMS NPPES public registry.