Individual provider Active NPI

Stephanie D. Johnson, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Smyrna, DE
National Provider Identifier
1124577895
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
L8-0000178 Issued in DE
Practice address
229 N. Main Street
Suite 207
Smyrna, DE 19977
Phone
(302) 378-8395
Fax
(302) 883-8395
NPI assigned
Sep 23, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X LG0000966 DE
Family Nurse Practitioner 363LF0000X AC002255 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AC006954 MD
Psychiatric/Mental Health Nurse Practitioner 363LP0808X L8-0000178 DE Primary

Addresses

Primary practice location

229 N. Main Street
Suite 207
Smyrna, DE 19977

Mailing address

229 N. Main Street
Suite 207
Smyrna, DE 19977
Phone (302) 378-8358

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161220000693 DE Practitioner - Nurse Practitioner 2961782032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Steps 2 Wellness LLCGroup PAC ID 1951733450, 2 clinicians

Practice addresses (Care Compare)

229 N Main St
Suite 207
Smyrna, DE 19977-1192
Phone (302) 276-8576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
LG0000966DEMDFamily Nurse Practitioner
AC002255MDMDFamily Nurse Practitioner
L8-0000178DEMDPsychiatric/Mental Health Nurse Practitioner
AC006954MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Steps 2 Wellness, LLC Psychiatric/Mental Health CurrentSince Oct 15, 2019 Accepting new patients
Steps 2 Wellness, LLC Family CurrentSince Jan 7, 2024 Accepting new patients

Locations

229 N Main St
Ste 207
Smyrna, DE 19977
Phone (302) 276-8576

229 N Main St
Smyrna, DE 19977
Phone (302) 276-8483

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1124577895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 N. MAIN STREET",
            "address_2": "SUITE 207",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "19977",
            "telephone_number": "302-378-8358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 N. MAIN STREET",
            "address_2": "SUITE 207",
            "city": "SMYRNA",
            "state": "DE",
            "postal_code": "19977",
            "telephone_number": "302-378-8395",
            "fax_number": "302-883-8395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEPHANIE",
        "middle_name": "D.",
        "credential": "FNP-C, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-23",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG0000966",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC002255",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC006954",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "DE",
            "license": "L8-0000178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, DE

Sources for this page

Verify at the official NPI Registry.