Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathleen Jackson Johnson, LPC

Individual provider Professional Counselor · NPI 1780341156

Kathleen Jackson Johnson, LPC is a Mental Health Counselor in Fargo, North Dakota. Qualified in 2021, 5 years ago. Works from 2 locations. Licensed in North Dakota.

Years since qualifying
5
Licensed in
ND
In the registry since
2021
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

1202 Westrac Dr S Ste 200
Fargo, ND 58103-2356
Phone: (701) 280-9545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2701 12th Ave S, Fargo, ND 58103-8753 — (701) 451-4900

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 1165-10-15-21A (ND)

Record details

NPI number1780341156
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedNovember 20, 2021
Last updated in NPPESAugust 29, 2024
Certification dateAugust 28, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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