Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Georgia Marie Johnson, LPCC, LPC, RTC

Individual provider Case Manager/Care Coordinator · NPI 1376803957

Mrs. Georgia Marie Johnson, LPCC, LPC, RTC is a Mental Health Counselor in Fargo, North Dakota. Qualified in 1996, 30 years ago. Practices with Southeast Human Service Center, a 29-clinician group and accepts Medicare assignment.

Years since qualifying
30
In the registry since
2012
Specialties on file
2
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

2624 9th Ave S
Fargo, ND 58103-2350
Phone: (701) 298-4500
Fax: (701) 298-4400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1376803957
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC , LPC , RTC
Sole proprietorNo
NPI enumeratedMay 17, 2012
Last updated in NPPESApril 8, 2021
Certification dateApril 8, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1996 (30 years in practice)
Group practice Southeast Human Service Center — 29 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients18
Services billed 145 a service is one billed item, such as a visit, a test or a procedure
Average patient age45

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Southeast Human Service Center

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 29 clinicians in the practice; 12 are shown here.

Other providers in Fargo