KATHLEEN JACKSON JOHNSON LPC
NPI 1780341156
Counselor - Professional in Fargo, ND
About Kathleen Jackson Johnson Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN JACKSON JOHNSON LPC (NPI 1780341156) is an individual professional provider in Fargo, North Dakota, licensed in North Dakota (1165-10-15-21A) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Fargo.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathleen Jackson Johnson Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kathleen Johnson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fargo, ND 58104
- Reassigned Medicare billing, North Dakota enrollment
- 7 clinicians in this Medicare group
Thief River Falls, MN 56701
- Reassigned Medicare billing, North Dakota enrollment
- 79 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.
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 Kathleen Johnson's NPI number?
The NPI number for Kathleen Johnson is 1780341156. It was assigned to this individual provider in the NPPES registry on November 20, 2021. The provider is also known as Kathleen Jackson Ms.
Where is Kathleen Johnson located?
Kathleen Johnson practices at 1202 Westrac Dr S Ste 200, Fargo, ND 58103. The listed phone number is (701) 280-9545.
What is Kathleen Johnson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Kathleen Johnson enrolled in Medicare?
Yes. Kathleen Johnson is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kathleen Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Johnson reassigns Medicare benefits to 2 organizations: Catholic Charities North Dakota (Fargo, ND) and Pediatric Therapy Partners, Inc. (Thief River Falls, MN). Each 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 Kathleen Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathleen Johnson accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Kathleen 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 Kathleen Johnson was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kathleen Jackson Johnson, LPC · NPI 1780341156
Professional provider in Fargo, North Dakota. Individual provider, active in the CMS NPPES registry since November 20, 2021.
## Identity
- **NPI:** 1780341156 (Entity type: Individual)
- **Enumerated:** November 20, 2021
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 1165-10-15-21A (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 1202 WESTRAC DR S STE 200, Fargo, ND 58103-2356
- **Phone:** (701) 280-9545
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Catholic Charities North Dakota (NPI 1619927290, Fargo, ND); Pediatric Therapy Partners, Inc. (NPI 1457479958, Thief River Falls, MN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 29, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1780341156) · Data from the CMS NPPES public registry.