Individual provider Active NPI

Tess Johnson, MS, LPCC

  • Professional Counselor
  • Dickinson, ND
National Provider Identifier
1548658792
Registry record updated Nov 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
813-12-15-14-352 Issued in ND
Practice address
25 1St Ave W Ste 160
Dickinson, ND 58601-5157
Phone
(701) 787-1100
Fax
(701) 787-1600
NPI assigned
Dec 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 813-12-15-14A ND
Professional Counselor 101YP2500X 813-12-15-14-352 ND Primary

Addresses

Primary practice location

25 1St Ave W Ste 160
Dickinson, ND 58601-5157

Mailing address

579 River Dr
Dickinson, ND 58601-6020
Phone (701) 521-0503

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
I20240123001147 ND Practitioner - Mental Health Counselor 6204288574 Practice locations: Dickinson, ND

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

25 1St Ave W
Suite 160
Dickinson, ND 58601-5157
Phone (701) 787-1100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Tess R Johnson, PLLC Professional CurrentSince Nov 21, 2021 Accepting new patients
Prairie Hills Chiropractic PC PastSince Nov 21, 2021 Accepting new patients
Westwind Consulting Center PastSince Aug 1, 2019 Accepting new patients
Westwind Consulting Center, Inc. PastSince Aug 1, 2019 Accepting new patients

Locations

25 1st Ave W
Ste 160
Dickinson, ND 58601
Phone (701) 787-1100

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637193600000",
    "number": "1548658792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 RIVER DR",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586016020",
            "telephone_number": "701-521-0503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 1ST AVE W STE 160",
            "city": "DICKINSON",
            "state": "ND",
            "postal_code": "586015157",
            "telephone_number": "701-787-1100",
            "fax_number": "701-787-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TESS",
        "credential": "MS, LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-22",
        "last_updated": "2021-11-18",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "813-12-15-14A",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "813-12-15-14-352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickinson, ND

Sources for this page

Verify at the official NPI Registry.