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KATHLEEN JACKSON JOHNSON LPC
NPI 1780341156
Counselor - Professional in Fargo, ND

Active since November 20, 2021PECOS Enrolled
1202 WESTRAC DR S STE 200, FARGO, ND 58103(701) 280-9545 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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, maintains a secondary practice location in Fargo, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1780341156
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKATHLEEN JACKSON JOHNSONCredential: LPC
Location Address1202 WESTRAC DR S STE 200Fargo, ND 58103-2356
Mailing Address1505 5th Ave SFargo, ND 58103-1539 · (701) 232-8905
Phone(701) 280-9545
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 20, 2021
Last NPPES UpdateAugust 29, 2024
NPPES CertifiedAugust 28, 2024
✔ NPI 1780341156 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 · 1165-10-15-21A
1202 WESTRAC DR S STE 200, Fargo, ND 58103
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Other Names 1

Former Name (1)Kathleen Jackson Ms

Secondary Practice Location 1

Location 12701 12th Ave SFargo, ND 58103-8753 · Phone (701) 451-4900 · Fax (651) 925-0057

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kathleen Jackson Johnson Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850893637
PECOS Enrollment IDI20250909002790
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.

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.

What insurance does Kathleen Johnson accept?

Health plans from 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 23 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.