Individual provider Active NPI

Stacey Berger Johnson

  • Professional Counselor
  • Minot, ND
National Provider Identifier
1407267990
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
876-6-1-16-331 Issued in ND
Practice address
2910 7TH St SW
Minot, ND 58701-7025
Phone
(701) 833-1246
NPI assigned
May 19, 2014
Last updated
Apr 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1729 ND
Professional Counselor 101YP2500X 876-6-1-16-331 ND Primary

Addresses

Primary practice location

2910 7TH St SW
Minot, ND 58701-7025

Mailing address

2910 7TH St SW
Minot, ND 58701-7025
Phone (701) 338-1246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260114000166 ND Practitioner - Mental Health Counselor 8224514807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunrise Counseling Services, PLLCGroup PAC ID 7315423993, 5 clinicians

Practice addresses (Care Compare)

2910 7TH St SW
Minot, ND 58701-7025
Phone (701) 833-1246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Counseling Services PLLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

2910 7th St SW
Minot, ND 58701
Phone (701) 833-1246

900 N Broadway
Ste 110
Minot, ND 58703

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": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1407267990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2910 7TH ST SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587017025",
            "telephone_number": "701-338-1246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 7TH ST SW",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587017025",
            "telephone_number": "701-833-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGER JOHNSON",
        "first_name": "STACEY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ND",
            "license": "1729",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "876-6-1-16-331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minot, ND

Sources for this page

Verify at the official NPI Registry.