MS. STACEY JOHNSON (NPI# 1932590783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932590783 |
| Entity Type | Individual |
| Full Name | MS. STACEY JOHNSON |
| Credential | CADC-CAS |
| Practice Address |
900 Fulton Ave Ste 200 Sacramento CA 95825-4517 |
| Mailing Address |
4036 Andedon Cir Sacramento CA 95826-5506 |
| Practice Telephone | 9164843570 |
| Mailing Telephone | 9163030090 |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2019-10-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | CA | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 4343 Williamsbourgh Dr, Sacramento, CA 958232006 | 9163953552 |
| 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 |
900 FULTON AVE STE 200 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825-4517 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891875076 | Kurt A Armstrong | Chiropractor | 900 Fulton Ave Ste 200, Sacramento, CA 95825-4517 | 2006-10-16 |
| 1700433836 | Evan Grey | Case Manager/Care Coordinator | 900 Fulton Ave Ste 200, Sacramento, CA 95825-4517 | 2019-08-22 |
| 1992175822 | Brandi Blackman | Marriage & Family Therapist | 900 Fulton Ave Ste 200, Sacramento, CA 95825-4517 | 2015-10-05 |
| 1013386366 | Enoh Thomas | Student in an Organized Health Care Education/Training Program | 900 Fulton Ave Ste 200, Sacramento, CA 95825-4517 | 2015-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| Find all providers in zip 95825 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709458 | Andre Howard | Case Manager/Care Coordinator | 2281 Hurley Way Apt 10, Sacramento, CA 95825-2337 | 2020-10-26 |
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1891392676 | Natalie V Galaviz | Case Manager/Care Coordinator | 3815 Marconi Ave # 52, Sacramento, CA 95821-3867 | 2020-10-05 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1093332579 | David Lynch | Case Manager/Care Coordinator | 700 H St Ste 270, Sacramento, CA 95814-1289 | 2020-06-30 |
| 1770126906 | Chrysanthia D Leggett | Case Manager/Care Coordinator | 7415 Henrietta Dr Unit A, Sacramento, CA 95822-5142 | 2019-10-21 |
| 1558904870 | Larry Carter | Case Manager/Care Coordinator | 3700 Watt Ave Apt 13, Sacramento, CA 95821-2661 | 2019-10-18 |
| 1255982443 | Valerie Bishop | Case Manager/Care Coordinator | 5691 Boyton Way, Sacramento, CA 95823-3811 | 2019-09-27 |
| 1720637689 | Ayana Nuno | Case Manager/Care Coordinator | 1616 El Monte Ave, Sacramento, CA 95815-2903 | 2019-09-04 |
| 1154980597 | Nosazena Leo Uyigue | Case Manager/Care Coordinator | Sacramento County Mental Health Treatment Center, 2150 Stockton Boulevard, Sacramento, CA 95817-1337 | 2019-06-10 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
Please comment or provide details below to improve the information on MS. STACEY 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.