Stacy Lee Johnson

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CP60741726 Issued in WA

Practice address

1307 S 11TH St
Tacoma, WA 98405-3644

Phone

(253) 682-2180

NPI assigned

Aug 17, 2016

Last updated

Aug 25, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kassuhn Inc

  dba Alternative Counseling

  • Substance Abuse Rehabilitation Facility
  • Spanaway, WA
  • NPI 1609156298
  NPD (past)
• Kassuhn Inc Dba Alternative Counseling

  • Early Intervention Provider Agency
  • Spanaway, WA
  • NPI 1023562170
  NPD (past)
• Pierce County Alliance

  • Community/Behavioral Health Agency
  • Tacoma, WA
  • NPI 1588869093
  NPD (past)

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

{
    "created_epoch": "1471392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1235684408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 685",
            "city": "SPANAWAY",
            "state": "WA",
            "postal_code": "983870685",
            "telephone_number": "253-538-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1307 S 11TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984053644",
            "telephone_number": "253-682-2180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17002 Pacific Ave S",
            "address_purpose": "LOCATION",
            "city": "Spanaway",
            "state": "WA",
            "postal_code": "983878253",
            "country_code": "US",
            "telephone_number": "253-538-2323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STACY",
        "middle_name": "LEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-17",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WA",
            "license": "CP60741726",
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "WA",
            "license": "CO60237827",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Lynn Johnson, LMP
• Safia Kassam Johnson, N.D.
• Sarah Johnson, RN
• Shawn M Johnson
• Shawna Lee Johnson, NP
• Stephanie Johnson, NTP, RWS
• Stephanie Johnson, MSED
• Ta'Mera Lakeyta Johnson, MA61452349
• Tiffany Johnson
• Tomika Johnson

• Addiction (Substance Use Disorder) Counselor in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Addiction (Substance Use Disorder) Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.