Erika Lane Johnson, MS, LPCC

Key facts

NPI

1104389550

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

License

999-3-15-19-417 (ND)

Practice address

1020 36TH St SW
Fargo, ND 58103-2237

Phone

(701) 297-7540

NPI assigned

Apr 11, 2019

Sex

Female

Sole proprietor

Yes

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sorensen Counseling Services PC Multi-Specialty Clinic/Center · Fargo, ND · NPI 1215713243
  NPD
• Benson Psychological Services PC Community/Behavioral Health Agency · Fargo, ND · NPI 1477709574
  NPD (past) MULTI-SPECIALTY
• Benson Psychological Services, PC Psychologist · Moorhead, MN · NPI 1437540929
  NPD (past) MULTI-SPECIALTY

Medicare Care Compare profile

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Master of Science

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 22, 2023.

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1104389550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 36TH ST SW",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032237",
            "telephone_number": "701-297-7540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 36TH ST SW",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581032237",
            "telephone_number": "701-297-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERIKA",
        "middle_name": "LANE",
        "credential": "MS, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": "999-3-15-19A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "ND",
            "license": "999-3-15-19-417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

• Edward R Johnson, MD
• Eldon A. Johnson, PT, MPT
• Elizabeth Johnson
• Ellen Johnson, MGCS, LCGC
• Emily Johnson
• Falan Johnson, LMSW
• Gary E Johnson, OD
• Georgia Marie Johnson, LPCC, LPC, RTC
• Hayle Elizabeth Johnson
• Heidi Johnson, RN

All providers in Fargo, ND · Mental Health Counselor in North Dakota