STACY JOHNSON (NPI# 1235595091) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235595091 |
| Entity Type | Individual |
| Full Name | STACY JOHNSON |
| Credential | LPC |
| Practice Address |
621 Sw Alder St Ste 400 Portland OR 97205-3619 |
| Practice Telephone | 9712706766 |
| Mailing Telephone | 9712706766 |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
C2585 | OR | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609359116 | Stacy Johnson | Social Worker | 134 West Park Central Sq, Springfield, MO 65806 | 2018-09-11 |
| 1699208553 | Stacy Michele Johnson | Registered Nurse | 1934 Parker Ridge Rd, Peebles, OH 45660-9161 | 2017-04-07 |
| 1235672189 | Stacy Nicole Johnson | Contractor | 259 Green Meadows Rd, Wilmer, TX 75172-3336 | 2016-11-27 |
| 1467894220 | Stacy Lynn Johnson | Nurse Practitioner | 420 Cty Rd. 26, Beulah, ND 58523 | 2013-07-22 |
| 1306187844 | Stacy L Johnson | Technician, Other | 242 W Main St # 177, Hendersonville, TN 37075-3318 | 2013-03-07 |
| 1083967616 | Stacy Ann Johnson | Registered Nurse | 300 Crosman Ter, Rochester, NY 14620-1822 | 2012-10-19 |
| 1336470863 | Stacy Jeanine Johnson | Counselor | 9109 Foggy Meadown Road, Charlotte, NC 28269 | 2010-01-22 |
| 1851579387 | Stacy L Johnson | Licensed Practical Nurse | 326 Shade Dr, Fairborn, OH 45324-4239 | 2008-02-06 |
| 1942492400 | Stacy Johnson | Counselor | 719 Massachusetts St Ste 128, Lawrence, KS 66044-2345 | 2007-08-17 |
| 1619189883 | Stacy Erin Johnson | Counselor | 1300 Hoppe Blvd., Suite 4, Ada, OK 74820 | 2007-05-03 |
| Street Address |
621 SW ALDER ST STE 400 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97205-3619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871026062 | Leila Soltani | Dentist | 430 Sw 13th Ave Apt 2010, Portland, OR 97205 | 2017-04-05 |
| 1114374949 | Elizabeth Alire | Counselor | 1411 Sw Morrison St., Portland, OR 97205 | 2016-05-23 |
| 1508237462 | Pacific Psychology and Comprehensive Health Center | Community/Behavioral Health | 1411 Sw Morrison Ave, Suite 310, Portland, OR 97205 | 2015-10-16 |
| 1265803761 | Alana Branson | Naturopath | 1033 Sw Yamhill Street, Suite 403, Portland, OR 97205 | 2015-10-10 |
| 1720458011 | Kate Ohene | Counselor | 1411 Sw Morrison Street, Suite 310, Portland, OR 97205 | 2015-09-30 |
| 1285004671 | Christina Nannette Mendoza | Counselor | 1411 Sw Morriston Street, 310, Portland, OR 97205 | 2015-09-29 |
| 1083095947 | Patricia Burton | Registered Nurse | 1312 Sw Washinghton, Portland, OR 97205 | 2015-06-16 |
| 1649663071 | Huey Holistic | Clinic/Center | 1221 Sw Yamill, Suite 300, Portland, OR 97205 | 2015-03-10 |
| 1376952796 | Joan Kendall Ayala | Counselor | 610 Sw Alder St Ste 915, Portland, OR 97205 | 2014-08-11 |
| 1316356165 | Satheara Sin | Massage Therapist | 1033 Sw Yamhill St. #403, Portland, OR 97205 | 2014-08-06 |
| Find all providers in zip 97205 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748243 | Jessica M Feinsmith | Counselor | 6530 N Williams Ave, Portland, OR 97217-1924 | 2020-10-21 |
| 1720687809 | Karissa Myriah Gregory | Counselor | 14255 Se Rupert Dr, Portland, OR 97267-1211 | 2020-10-20 |
| 1528667904 | Zuzana Sakova | Counselor | 819 Se Morrison St Ste 225, Portland, OR 97214-6311 | 2020-10-18 |
| 1891302238 | Nina Landey | Counselor | 120 Se 53rd Ave, Portland, OR 97215-1204 | 2020-09-29 |
| 1902412166 | Peter H Addy LLC | Counselor | 524 N Tillamook St Ste 102b, Portland, OR 97227-1993 | 2020-09-22 |
| 1326654765 | Naomi Painter | Counselor | 1925 Ne 19th Ave Apt 8a, Portland, OR 97212-4526 | 2020-09-21 |
| 1750996104 | Sara Fuller | Counselor | 3016 Ne 70th Ave, Portland, OR 97213-5802 | 2020-09-12 |
| 1114532983 | Matthew W Cronin | Counselor | 1122 Ne 122nd Ave Ste 200, Portland, OR 97230-2081 | 2020-09-09 |
| 1447865381 | Luke Colbourn | Counselor | 2705 E Burnside St Ste 206, Portland, OR 97214-1768 | 2020-09-08 |
| 1710599774 | Abigail Kathryn Ernst | Counselor | 1020 Sw Taylor St # 100, Portland, OR 97205-2543 | 2020-08-20 |
| Find all providers in PORTLAND | ||||
Please comment or provide details below to improve the information on STACY JOHNSON.
| 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.