Active NPI
Stacey Johnson
- Counselor
- McAlester, OK
National Provider Identifier
1750655650
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- TEACHER
- Practice address
- 111 S Main St
McAlester, OK 74501-5363 - Phone
- (918) 423-5204
- NPI assigned
- Feb 24, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | TEACHER | OK | Primary |
Addresses
Primary practice location
111 S Main St
McAlester, OK 74501-5363
Mailing address
304 Janet LN
Pocola, OK 74902-3361
Phone (479) 221-7261
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
| License | State | Type | Specialty |
|---|---|---|---|
| TEACHER | OK | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330041600000",
"number": "1750655650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 JANET LN",
"city": "POCOLA",
"state": "OK",
"postal_code": "749023361",
"telephone_number": "479-221-7261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S MAIN ST",
"city": "MCALESTER",
"state": "OK",
"postal_code": "745015363",
"telephone_number": "918-423-5204"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "STACEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-02-24",
"last_updated": "2012-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OK",
"license": "TEACHER",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McAlester, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.