STACI R JOHNSON (NPI# 1619506235) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619506235 |
| Entity Type | Individual |
| Full Name | STACI R JOHNSON |
| Credential | LMHC |
| Practice Address |
14149 Ledgewood Way Carmel IN 46032-9259 |
| Practice Telephone | 3179223830 |
| Enumeration Date | 2020-04-06 |
| Last Update Date | 2020-04-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
39003708A | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326521212 | Staci Johnson | Counselor | 1314 E Sonterra Blvd Ste 2208, San Antonio, TX 78258-4287 | 2018-09-07 |
| 1538325907 | Staci L Johnson | Registered Nurse | 2751 Debarr Rd Ste 310, Anchorage, AK 99508-6804 | 2008-08-05 |
| 1790977502 | Staci R. Johnson | Psychiatry & Neurology | 4550 Eucalyptus Ave, Chino, CA 91710-9215 | 2007-08-15 |
| 1306394010 | Staci Johnson | Psychologist | 66 School St, Monaville, Logan, WV 25601-9605 | 2016-09-12 |
| 1326425158 | Staci Johnson | Speech-Language Pathologist | 1600 7th Ave S, Birmingham, AL 35233-1711 | 2015-04-30 |
| 1851721641 | Staci Johnson | Marriage & Family Therapist | 1011 Goodrich Blvd, Commerce, CA 90022-5102 | 2013-11-15 |
| 1356589907 | Staci Marie Johnson | Registered Nurse | 2521 Stockton Blvd, Sacramento, CA 95817-2207 | 2009-02-04 |
| Street Address |
14149 LEDGEWOOD WAY |
| City | CARMEL |
| State | IN |
| Zip Code | 46032-9259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1144869983 | Genesia Simmons | Occupational Therapy Assistant | 118 Medical Drive, Carmel, Indiana, OH 46032 | 2019-12-26 |
| 1962069088 | Dei of Indiana, Inc. | Optometrist | 3985 W. 106th Street, Suite 120, Carmel, IN 46032 | 2019-05-23 |
| 1427518737 | Ayesha Kias | Physical Therapist | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2019-03-22 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1154817427 | Open Doors Counseling and Consulting LLC | Nurse Practitioner | 11495 N Pennsylvania, Suite 105, Carmel, IN 46032 | 2018-07-10 |
| 1326533837 | Emily Jo Hardy | Physical Therapy Assistant | Lifespan Therapy 118 Medical Drive, Carmel, IN 46032 | 2018-06-27 |
| 1770086845 | Erin Reagan | Occupational Therapist | 1118 Havest Ct., Carmel, IN 46032 | 2018-03-14 |
| 1356859748 | Maricelia Serrano | Physical Therapy Assistant | Lifespan Therapy, 118 Medical Drive, Carmel, IN 46032 | 2018-01-19 |
| 1417472234 | Leigh Anne Rozsas | Pharmacist | 1424 S Rangeline Road, Carmel, IN 46032 | 2017-08-14 |
| Find all providers in zip 46032 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154928174 | Amy Saum Somers | Counselor | Lincoln 2 Nw of 7th St., Carmel, CA 93921-9392 | 2020-10-02 |
| 1972119675 | Polly Kathryn Larson | Counselor | 580 E Carmel Dr, Carmel, IN 46032-3317 | 2020-09-17 |
| 1154930691 | Inner Calm, LLC | Counselor | 9640 Commerce Dr Ste 412, Carmel, IN 46032-7638 | 2020-07-30 |
| 1235769662 | Sharon M.b. Tedder | Counselor | 1980 E. 116th St., Suite 220, Carmel, IN 46032 | 2020-01-24 |
| 1568013449 | Simone Peart | Counselor | 1816 Route 6, Carmel, NY 10512-2356 | 2019-09-23 |
| 1730647017 | Trina Marie Krieger | Counselor | 9650 Commerce Dr Ste 531, Carmel, IN 46032-7639 | 2019-03-06 |
| 1679049902 | Tobas Anthony Groves | Counselor | 1939 Madison Ct Apt D, Carmel, IN 46032-2957 | 2018-10-14 |
| 1023597721 | Touchstone Counseling | Counselor | 600 E Carmel Dr Ste 110, Carmel, IN 46032-3003 | 2018-08-13 |
| 1104305952 | Megan Nicole Neitling | Counselor | 600 E Carmel Dr Ste 146, Carmel, IN 46032 | 2018-08-13 |
| 1841785458 | Caitlyn M Koshnick | Counselor | 1980 E 116th St Ste 220, Carmel, IN 46032-3516 | 2018-06-26 |
| Find all providers in CARMEL | ||||
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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.