Active NPI
Chase Johnson
- Speech-Language Pathologist
- Fargo, ND
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- Practice address
- 4152 30TH Ave S
Fargo, ND 58104-8524 - Phone
- (701) 364-9070
- Fax
- (701) 364-9071
- NPI assigned
- Mar 3, 2021
- Last updated
- Jan 15, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | ND | Primary |
Addresses
Primary practice location
4152 30TH Ave S
Fargo, ND 58104-8524
Mailing address
2200 20TH St SW
Jamestown, ND 58401-7500
Phone (701) 252-3850
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ND
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anne Carlsen Center | Behavior Analyst | Current | Accepting new patients |
Locations
2800 Main Ave
Fargo, ND 58103
Phone (701) 364-2663
4152 30th Ave S
Fargo, ND 58104
Phone (701) 364-2663
2016 S Washington St
Grand Forks, ND 58201
Phone (701) 757-4200
2200 20th St SW
Jamestown, ND 58401
Phone (701) 252-3850
701 3rd St NW
Jamestown, ND 58401
Phone (701) 252-3850
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1614729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768435200000",
"number": "1083209977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 20TH ST SW",
"city": "JAMESTOWN",
"state": "ND",
"postal_code": "584017500",
"telephone_number": "701-252-3850",
"fax_number": "701-952-1450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4152 30TH AVE S",
"city": "FARGO",
"state": "ND",
"postal_code": "581048524",
"telephone_number": "701-364-9070",
"fax_number": "701-364-9071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "CHASE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-03",
"last_updated": "2026-01-15",
"certification_date": "2026-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "ND",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.