STACEY BERGER JOHNSON NPI 1407267990

NPI Information

  • NPI: 1407267990
  • Provider Name: STACEY BERGER JOHNSON
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 900 N BROADWAY STE 110
    MINOT, ND
    ZIP 58703
  • Phone: (701) 833-1246

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NPI Details

Stacey Berger Johnson is a mental health counselor in Minot, ND. Stacey Berger Johnson NPI is 1407267990. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

900 N BROADWAY STE 110
MINOT, ND
ZIP 58703-379
Phone: (701) 833-1246

The enumeration date for this NPI number is 5/19/2014 and was last updated on 9/24/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)1729NORTH DAKOTANo
2101YM0800XCounselorMental HealthNORTH DAKOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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