Active NPI
Stacy Johnson, MS, LCPC, RPT-S
- Professional Counselor
- Lawrence, KS
National Provider Identifier
1942492400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LCPC 727
- Practice address
- 719 Massachusetts St Ste 128
Lawrence, KS 66044-2345 - Phone
- (785) 657-4099
- Fax
- (785) 856-6006
- NPI assigned
- Aug 17, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LCPC 727 | KS | Primary |
Addresses
Primary practice location
719 Massachusetts St Ste 128
Lawrence, KS 66044-2345
Mailing address
719 Massachusetts St Ste 128
Lawrence, KS 66044-2345
Phone (785) 657-4099
Other practice location 1
333 E Poplar St
Olathe, KS 66061-3308
Phone (913) 782-4077
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC 727 | KS | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547856000000",
"number": "1942492400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "719 MASSACHUSETTS ST STE 128",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660442345",
"telephone_number": "785-657-4099",
"fax_number": "785-856-6006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 MASSACHUSETTS ST STE 128",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660442345",
"telephone_number": "785-657-4099",
"fax_number": "785-856-6006"
}
],
"practiceLocations": [
{
"address_1": "333 E Poplar St",
"address_purpose": "LOCATION",
"city": "Olathe",
"state": "KS",
"postal_code": "660613308",
"country_code": "US",
"telephone_number": "913-782-4077",
"fax_number": "913-782-0983",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "STACY",
"credential": "MS, LCPC, RPT-S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-17",
"last_updated": "2019-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KS",
"license": "LCPC 727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.