KJELLANN LOE-JOHNSON L.A.P.C.
NPI 1417311465
Counselor - Professional in Fargo, ND

Q: What is Kjellann Loe-johnson's NPI number?

The NPI number for Kjellann Loe-johnson is 1417311465. It was assigned to this individual provider in the NPPES registry on April 6, 2016. The provider is also known as Kjellann Loe.

Q: What is Kjellann Loe-johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Active since April 06, 2016PECOS EnrolledAccepts Medicare Assignment

2624 9TH AVE S, FARGO, ND 58103(701) 298-4500(701) 298-4400 Get Directions Write a Review

NPPES record last updated: April 6, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Kjellann Loe-johnson L.a.p.c. NPPES

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

KJELLANN LOE-JOHNSON L.A.P.C. (NPI 1417311465) is an individual professional provider in Fargo, North Dakota, licensed in North Dakota (782-4-1-14A) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1417311465

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameKJELLANN LOE-JOHNSONCredential: L.A.P.C.

Location Address2624 9TH AVE SFargo, ND 58103-2350

Mailing Address2624 9th Ave SFargo, ND 58103-2350 · (701) 298-4500 · Fax (701) 298-4400

Phone(701) 298-4500

Fax(701) 298-4400

Sole ProprietorNo

Medical School CMSOtherGraduated 2011

Enumeration DateApril 6, 2016

✔ NPI 1417311465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in ND · 782-4-1-14A

2624 9TH AVE S, Fargo, ND 58103

Open in Google Maps ↗

Other Names 1

Former Name (1)Kjellann Loe

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Sanford Health Plan.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

Kjellann Loe-johnson L.a.p.c. 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.

PECOS PAC ID143671503

PECOS Enrollment IDI20240110001439

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.

Medicare Billing Reassignment

Medicare enrollment records show Kjellann Loe-johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Knowlton, O'neill & Associates, P.C.

2.6 mi

Psychologist

1401 13TH AVE E
West Fargo, ND 58078

Reassigned Medicare billing, North Dakota enrollment
Medicare enrollment name: Knowlton O'neill & Associates PC
12 clinicians in this Medicare group

NPI 1538198759 (701) 364-0060

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.

JENNY WEST

Specialist