Stacy Johnson, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

C2585 Issued in OR

Practice address

621 SW Alder St Ste 400
Portland, OR 97205-3619

Phone

(971) 270-6766

NPI assigned

Jan 11, 2016

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

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1235595091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 SW ALDER ST STE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053619",
            "telephone_number": "971-270-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 SW ALDER ST STE 400",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972053619",
            "telephone_number": "971-270-6766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STACY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C2585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawnda Lynette Johnson
• Sheqouya Johnson
• Sherri Ann Johnson, QMHA
• Sherry Colleen Johnson, NNP
• Stacey Elizabeth Johnson, LPC, LMHC
• Stephanie L Johnson, NNP
• Stephanie Michele Johnson, MSN, RN, APRN, NP
• Stephen Morris Johnson, MD
• Steven Lee Johnson, BS
• Steven William Johnson, MD, PHD

• Mental Health Counselor in Portland, OR
• Providers in Portland, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.