Individual provider Active NPI

Stephanie Marie McCoy-Johnson, LAC, LPCC, MFTC

  • Addiction (Substance Use Disorder) Counselor
  • Aurora, CO
National Provider Identifier
1396388591
Registry record updated Jul 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
ACD.0002569 Issued in CO
Practice address
224 Potomac St
Aurora, CO 80011-8740
Phone
(303) 537-5838
NPI assigned
Oct 21, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCC.0021608 CO
Mental Health Counselor 101YM0800X MFTC.0014581 CO
Addiction (Substance Use Disorder) Counselor 101YA0400X ACD.0002569 CO Primary

Addresses

Primary practice location

224 Potomac St
Aurora, CO 80011-8740

Mailing address

224 Potomac St
Aurora, CO 80011-8740
Phone (303) 537-5838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
ACD.0002569COMDAddiction (Substance Use Disorder) Counselor
LPCC.0021608COMDMental Health Counselor
MFTC.0014581COMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Anu Therapy Group Addiction (Substance Use Disorder) Current Accepting new patients
Community Alcohol/Drug Rehabilitation Center PastSince Oct 1, 2019 Accepting new patients

Locations

6795 E Tennessee Ave
Ste 370
Denver, CO 80224
Phone (303) 399-0616

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": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751500800000",
    "number": "1396388591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 POTOMAC ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118740",
            "telephone_number": "303-537-5838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 POTOMAC ST",
            "city": "AURORA",
            "state": "CO",
            "postal_code": "800118740",
            "telephone_number": "303-537-5838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOY-JOHNSON",
        "first_name": "STEPHANIE",
        "middle_name": "MARIE",
        "credential": "LAC, LPCC, MFTC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-21",
        "last_updated": "2025-07-03",
        "certification_date": "2025-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0021608",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "MFTC.0014581",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "ACD.0002569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.