Rachel Anne Johnson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

1100-12-1-20A Issued in ND

Practice address

5506 33Rd Ave S Apt 111
Fargo, ND 58104-7447

Phone

(218) 329-6453

NPI assigned

Aug 24, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1396464129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5506 33RD AVE S APT 111",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047447",
            "telephone_number": "218-329-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5506 33RD AVE S APT 111",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581047447",
            "telephone_number": "218-329-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RACHEL",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-24",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "1100-12-1-20-530",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "1100-12-1-20A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Norma June Johnson, LICSW
• Olivia Jo Johnson, RBT
• Philip Quentin Johnson, MD
• Quantia Johnson, RN
• Rachael Johnson, RN
• Randy W Johnson, NP
• Ronald Duane Johnson, M.A., CCC-A
• Ronald Lynn Johnson, M.D.
• Samantha Ann Johnson, MLS
• Shari Lynn Johnson

• Professional Counselor in Fargo, ND
• Providers in Fargo, ND by specialty
• Professional Counselor in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.