Stacey Johnson, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.193204 Issued in OH

Practice address

2065 Stoneridge Dr
Circleville, OH 43113-8956

Phone

(740) 500-1391

NPI assigned

Nov 20, 2025

Last updated

Nov 20, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/hopevalleyrecovery/r4/

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

• Full Circle Recovery of Circleville

  dba Hope Valley Recovery

  • Community/Behavioral Health Agency
  • Circleville, OH
  • NPI 1861137408
  NPD
• Full Circle Recovery of Circleville

  dba Hope Valley Recovery

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Circleville, OH
  • NPI 1922607266
  NPD

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

{
    "created_epoch": "1763596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1225999170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2065 STONERIDGE DR",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431138956",
            "telephone_number": "740-500-1391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2065 STONERIDGE DR",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431138956",
            "telephone_number": "740-500-1391"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 E Franklin St",
            "address_purpose": "LOCATION",
            "city": "Circleville",
            "state": "OH",
            "postal_code": "431131717",
            "country_code": "US",
            "telephone_number": "740-500-1391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STACEY",
        "credential": "CDCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-20",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.193204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Dieckman Jenkins, D.O.
• Tiffany A Jenkins
• William A Jenkins, MD
• Jessie Price Jepsen, DMD
• Halley Marie Johnson
• Matthew Benjamin Johnston, DO
• Bethany D Jones, BCBA
• Floyd M Jones, LSW
• Jennifer May Jones
• Wade Adam Jones

• Addiction (Substance Use Disorder) Counselor in Circleville, OH
• Providers in Circleville, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.