MRS. STACEY NICOLLE JOHNSON (NPI# 1053757286) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053757286 |
| Entity Type | Individual |
| Full Name | MRS. STACEY NICOLLE JOHNSON |
| Practice Address |
16725 Little Leaf Ln Edmond OK 73012-0675 |
| Mailing Address |
825 Nw 16th St Oklahoma City OK 73106-6401 |
| Practice Telephone | 4054092878 |
| Mailing Telephone | 4054092878 |
| Enumeration Date | 2013-05-14 |
| Last Update Date | 2013-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871004382 | Stacey Lin Johnson | Counselor | 303 N Burlington Ave Ste C, Hastings, NE 68901-5085 | 2017-10-24 |
| 1225586126 | Stacey Johnson | Community Health Worker | 30422 Laurelwood Ln, Wesley Chapel, FL 33543-4452 | 2016-09-20 |
| 1083020614 | Stacey Elizabeth Johnson | Counselor | 3419 Ne Sandy Blvd., Portland, OR 97232-1959 | 2014-07-03 |
| 1083036206 | Stacey Johnson | Marriage & Family Therapist | 1056 W 49th St, Los Angeles, CA 90037-2922 | 2014-01-07 |
| 1689005993 | Stacey Johnson | Nurse Practitioner | 4301 W Markham St # 519, Little Rock, AR 72205-7101 | 2013-12-12 |
| 1003116997 | Stacey M Johnson | Registered Nurse | 12605 E 16th Ave Fl Aip23, Aurora, CO 80045-2545 | 2010-10-26 |
| 1033442918 | Stacey K Johnson | Registered Nurse | 150 Landers St, Apt 2, San Francisco, CA 94114-4706 | 2009-09-10 |
| 1821262429 | Stacey Smith Johnson | Dietitian, Registered | 96 Ali Way Creekside South, Oxford, AL 36203 | 2008-04-15 |
| 1467656199 | Stacey Ann Johnson | Speech-Language Pathologist | 2922 N Seeley Ave, Chicago, IL 60618-8211 | 2007-06-14 |
| 1003441379 | Stacey Johnson | Early Intervention Provider Agency | 1002 S Dillard St Ste 106, Winter Garden, FL 34787-3991 | 2020-03-06 |
| Street Address |
16725 LITTLE LEAF LN |
| City | EDMOND |
| State | OK |
| Zip Code | 73012-0675 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104164185 | Roberts Group Counseling | Counselor | 16725 Little Leaf Ln, Edmond, OK 73012-0675 | 2013-01-24 |
| 1457690299 | Kristin Kovacs | Case Management | 16725 Little Leaf Ln, Edmond, OK 73012-0675 | 2013-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962013912 | Ashley Lambert | Counselor | 19501 N Pennsylvia, Apt 210, Edmond, OK 73012 | 2020-08-13 |
| 1699316083 | First Rate Eye Care Pllc | Optometrist | 1140 Nw 192nd St., Suite A, Edmond, OK 73012 | 2019-10-07 |
| 1659869881 | Brent Byers | Registered Nurse | 3040 Nw 179th Ct, Edmond, OK 73012 | 2018-04-24 |
| 1386173672 | John A Hale | Respiratory Therapist, Certified | 19100 Meadows Crossing Drive, Edmond, OK 73012 | 2017-06-08 |
| 1740715598 | Ryan Hays | Counselor | 620 Nw 178 St., Apt. 4c, Edmond, OK 73012 | 2017-04-28 |
| 1245691336 | Jessica Collins | Behavioral Analyst | 18217 Sandhurst Ct, Edmond, OK 73012 | 2016-03-16 |
| 1538545801 | Cynthia Ann Thompson | Case Manager/Care Coordinator | 1732 Kelly, Edmond, OK 73012 | 2015-08-10 |
| 1538564224 | Function Physical Therapy, LLC | Physical Therapist | 16502 N Pennsylvania Ave, Suite C, Edmond, OK 73012 | 2014-10-24 |
| 1003227414 | Deer Creek Family Healthcare and Wellness Clinic LLC | Clinic/Center | 19401 N. Portland, Edmond, OK 73012 | 2014-05-20 |
| 1316383649 | Ralphs Family Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 1101 Nw178th Street, Suite A, Edmond, OK 73012 | 2013-05-14 |
| Find all providers in zip 73012 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073110110 | Leah Grace Johnson | Marriage & Family Therapist | 14813 Moon Daisy Dr, Edmond, OK 73013-1466 | 2020-10-01 |
| 1912540204 | Pamela Kim Mahn | Marriage & Family Therapist | 15708 Val Ct, Edmond, OK 73013-1799 | 2019-10-20 |
| 1528573771 | Leslie Renee Crane | Marriage & Family Therapist | 2529 S. Kelly Ave., Suite C, Edmond, OK 73013-2976 | 2017-12-11 |
| 1598154494 | Kimberly Dean Ma Lmft Pllc | Marriage & Family Therapist | 14709 Moon Daisy Dr, Edmond, OK 73013-1402 | 2015-01-15 |
| 1780088039 | Megan Barrett | Marriage & Family Therapist | 1320 E 9th St Ste 6, Edmond, OK 73034-5773 | 2014-10-15 |
| 1922429307 | Jaclyn Ivy Rowland | Marriage & Family Therapist | 2840 Nw 183rd St, Edmond, OK 73012-7627 | 2014-01-02 |
| 1548508401 | Matthew Fletcher Stevenson | Marriage & Family Therapist | 717 Nw 141st St, Edmond, OK 73013-1920 | 2013-01-27 |
| 1720323934 | Process To Progress Counseling Services, LLC | Marriage & Family Therapist | 2101 Del Simmons Dr, Edmond, OK 73003-2411 | 2012-11-29 |
| 1235481086 | Austin Gregory Moore | Marriage & Family Therapist | 307 E Danforth Rd Ste 150, Edmond, OK 73034 | 2012-10-03 |
| 1063778967 | Kenneth Harris | Marriage & Family Therapist | 801 W 33rd St Unit 7972, Edmond, OK 73083-9517 | 2012-04-04 |
| Find all providers in EDMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.