MR. JOHN ROBERT JOHNSON L.P.C.C.
NPI 1255576609
Counselor - Professional in Fergus Falls, MN
NPI Status: Active since December 12, 2008
Contact Information
1920 COLLEGE WAY
FERGUS FALLS, MN
ZIP 56537
Phone: (701) 232-6224
Fax: (701) 232-4687
- Individual
- Male
- Counselor
- Professional
- Accepts Insurance
- Opted-Out Medicare
About JOHN JOHNSON
This page provides the complete NPI Profile along with additional information for John Johnson, a provider established in Fergus Falls, Minnesota with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1255576609 assigned on December 2008. The practitioner's primary taxonomy code is 101YP2500X with license number CC00019 (MN). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1255576609
- Provider Name
- MR. JOHN ROBERT JOHNSON L.P.C.C.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1920 COLLEGE WAY FERGUS FALLS, MN 56537
- Location Phone
- (701) 232-6224
- Location Fax
- (701) 232-4687
- Mailing Address
- 1112 NODAK DR S FARGO, ND 58103
- Mailing Phone
- (701) 232-6224
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-12-2008
- Last Update Date
- 01-22-2025
- Code Navigator
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. John Johnson opted out of Medicare effective on 04-08-2024 until 04-08-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Secondary Locations
- 305 30th Ave W
Alexandria, MN 56308
(320) 460-8028
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- CC00019
- License State
- MN
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | 19 (MN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Atlas $1,000 Gold - PPO
- Atlas $1,500 Standard Gold - PPO
- Atlas $2,650 Plus Silver - PPO
- Atlas $3,500 HSA Silver - PPO
- Atlas $5,000 Standard Silver - PPO
- Atlas $6,500 Plus Bronze - PPO
- Atlas $7,500 Standard Bronze - PPO
- Atlas $8,200 HSA Bronze - PPO
- Atlas $9,200 Catastrophic - PPO
- Sanford Individual TRUE $1,750 - HMO
- Sanford Individual TRUE $3,500 - HMO
- Sanford Individual TRUE $4,750 - HMO
- Sanford Individual TRUE $6,000 - HMO
- Sanford Individual TRUE $7,100 HSA Qualified - HMO
- Sanford Individual TRUE $9,200 - HMO
- Sanford Individual TRUE Standardized $1,500 - HMO
- Sanford Individual TRUE Standardized $5,000 - HMO
- Sanford Individual TRUE Standardized $7,500 - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 04-08-2024
Opt-Out End Date: 04-08-2026
Eligible to Order and Refer? No
Reviews for MR. JOHN ROBERT JOHNSON L.P.C.C.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 5 | 7 | 6 | 6 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 10 | 7 | 12 | 6 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 1 + 0 + 7 + 1 + 2 + 6 + 0 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1255576609 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1679682488 | DINA RAE KOWALSKI LMFT Individual | Marriage & Family Therapist | 1920 COLLEGE WAY FERGUS FALLS, MN 56537 (701) 232-6224 |
| 1205649449 | DEBORAH COLBECK LPCC Individual | Counselor (Professional) | 1920 COLLEGE WAY FERGUS FALLS, MN 56537 (701) 232-6224 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255576609, enumerated in the NPI registry as an "individual" on December 12, 2008
The provider is located at 1920 College Way Fergus Falls, Mn 56537 and the phone number is (701) 232-6224
The provider's speciality is Counselor with taxonomy code 101YP2500X with a focus in Professional
The provider might be accepting Accepts: HealthPartners and Sanford Health Plan. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
No, the provider signed an affidavit on April 08, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until April 08, 2026.
This NPI record was last updated on December 12, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.