Individual provider Active NPI

Kari M Johnson, LPCC

  • Professional Counselor
  • Fargo, ND
National Provider Identifier
1548919590
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
961-7-1-18-448 Issued in ND
Practice address
2701 12TH Ave S
Fargo, ND 58103-8753
Phone
(701) 451-4900
Fax
(651) 925-0057
NPI assigned
Mar 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 961-7-1-18-448 ND Primary

Addresses

Primary practice location

2701 12TH Ave S
Fargo, ND 58103-8753

Mailing address

4675 40TH Ave S Ste 115
Fargo, ND 58104-4592
Phone (701) 478-0906

Other practice location 1

4675 40th Ave S Ste 115
Fargo, ND 58104-4592
Phone (701) 478-0906

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
I20240109002742 ND Practitioner - Mental Health Counselor 4183075666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Village Family Service CenterGroup PAC ID 7517857428, 27 clinicians

Practice addresses (Care Compare)

2701 12TH Ave S
Fargo, ND 58103-8753
Phone (701) 451-4900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Service Center Professional CurrentSince Jan 1, 2024 Accepting new patients
Inner Light Counseling Services, LTD Professional CurrentSince Aug 7, 2026 Accepting new patients
Village Family Service Center CurrentSince Jan 1, 2024 Accepting new patients
Solutions Behavioral Healthcare Professionals, PC PastSince Mar 1, 2022 Accepting new patients

Locations

2701 12th Ave S
Fargo, ND 58103
Phone (701) 451-4865

4675 40th Ave S
Ste 115
Fargo, ND 58104
Phone (701) 478-0906

20 1st St SW
Ste 250
Minot, ND 58701
Phone (701) 852-3328

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": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1548919590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4675 40TH AVE S STE 115",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581044592",
            "telephone_number": "701-478-0906",
            "fax_number": "701-478-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 12TH AVE S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038753",
            "telephone_number": "701-451-4900",
            "fax_number": "651-925-0057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4675 40th Ave S Ste 115",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581044592",
            "country_code": "US",
            "telephone_number": "701-478-0906",
            "fax_number": "701-478-0909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KARI",
        "middle_name": "M",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ND",
            "license": "961-7-1-18-448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fargo, ND

Sources for this page

Verify at the official NPI Registry.