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NICOLETTE R JOHNSON LPCC; LADC/LMAC
NPI 1427596543
Counselor - Mental Health in Saint Cloud, MN

Active since February 09, 2017Opted out of Medicare · through Jan 19, 2028
103 DOCTORS PARK, SAINT CLOUD, MN 56303(320) 855-6557(320) 238-7456 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2025, Aug 7, 2023, Jan 25, 2021 and 2 more (5 updates tracked since 2017).

About Nicolette R Johnson Lpcc; Ladc/lmac NPPES

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

NICOLETTE R JOHNSON LPCC; LADC/LMAC (NPI 1427596543) is an individual mental health provider in Saint Cloud, Minnesota, licensed in Minnesota (2723) and active in the NPI registry since February 2017. She has opted out of Medicare through January 19, 2028.

NPPES Registry Identity

NPI1427596543
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLETTE R JOHNSONCredential: LPCC; LADC/LMAC
Location Address103 DOCTORS PARKSaint Cloud, MN 56303-1207
Mailing Address103 Doctors ParkSaint Cloud, MN 56303-1207 · (320) 855-6557 · Fax (320) 238-7456
Phone(320) 855-6557
Fax(320) 238-7456
Sole ProprietorNo
Enumeration DateFebruary 9, 2017
Last NPPES UpdateAugust 4, 20255 updates tracked since enumeration
NPPES CertifiedAugust 4, 2025
✔ NPI 1427596543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MN · 2723
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
103 DOCTORS PARK, Saint Cloud, MN 56303
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Sanford Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Nicolette R Johnson Lpcc; Ladc/lmac has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 19, 2024 through January 19, 2028.

Opt-Out Effective DateJanuary 19, 2024
Opt-Out In Effect ThroughJanuary 19, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

JAMES RUDOLPH TUORILA
Psychologist (Clinical)
103 DOCTORS PARK
SAINT CLOUD, MN 56303
Stearns County (320) 253-4321
AUTHENTIC SELF THERAPY PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
103 DOCTORS PARK
SAINT CLOUD, MN 56303
Stearns County (320) 855-6557
DOCTORS PARK MENTAL HEALTH CENTER, PA
Marriage & Family Therapist
103 DOCTORS PARK
SAINT CLOUD, MN 56303
Stearns County (320) 316-0300
JAMES RUDOLPH TUORILA
Psychologist (Counseling)
103 DOCTORS PARK
SAINT CLOUD, MN 56303
Stearns County (320) 253-4321

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 Nicolette Johnson's NPI number?

The NPI number for Nicolette Johnson is 1427596543. It was assigned to this individual provider in the NPPES registry on February 9, 2017.

Where is Nicolette Johnson located?

Nicolette Johnson practices at 103 Doctors Park, Saint Cloud, MN 56303. The listed phone number is (320) 855-6557.

What is Nicolette Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nicolette Johnson enrolled in Medicare?

No. Nicolette Johnson has opted out of Medicare through January 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Nicolette Johnson accept?

Health plans from HealthPartners and Sanford Health Plan list Nicolette 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 Nicolette Johnson was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.