Active NPI
Tess Johnson, MS, LPCC
- Professional Counselor
- Dickinson, ND
National Provider Identifier
1548658792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 813-12-15-14-352
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tess R Johnson, PLLC | Professional | Current | Accepting new patients |
| Prairie Hills Chiropractic PC | Past | Accepting new patients | |
| Westwind Consulting Center | Past | Accepting new patients | |
| Westwind Consulting Center, Inc. | Past | 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.
-
- Professional Counselor
- Dickinson, ND
- NPI 1922626456
-
- Chiropractor
- Dickinson, ND
- NPI 1063754638
-
- Psychiatry Physician
- Dickinson, ND
- NPI 1962520718
-
- Clinical Psychologist
- Dickinson, ND
- NPI 1619943776
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.