Stephanie Johnson, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C.1801118 Issued in OH

Practice address

103 S Front St
Fremont, OH 43420-3021

Phone

(567) 280-4023

NPI assigned

May 2, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525219200000",
    "number": "1083103345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1728 S COUNTY ROAD 15",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448838406",
            "telephone_number": "567-230-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 S FRONT ST",
            "city": "FREMONT",
            "state": "OH",
            "postal_code": "434203021",
            "telephone_number": "567-280-4023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEPHANIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2018-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.1801118",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSWMFT BOARD",
            "identifier": "C.1801118",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela R Jeffries, RPH
• Nicole Ruth Jessen, MS, ATC, LAT, PES
• Mandi Elizabeth Jester, MSW, LSW
• Jaclyn Noel Marie Jezak, CNP
• John J. Clarke, D.P.M.
• Jonathan F. Diller, M.D., Inc.
• Christina Jones, LPN
• Jeffrey Paul Jones Jr., R.PH.
• Christopher Juan Jordan, LPCC-S
• Rachel Jordan

• Mental Health Counselor in Fremont, OH
• Providers in Fremont, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.