Stephanie U Johnson

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1457240222 Issued in CA

Practice address

1457 Dreamy Way
Sacramento, CA 95835-1761

Phone

(131) 050-0866

NPI assigned

Feb 14, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie U Johnson Yancy Other name

Electronic endpoints 1

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 and National Provider Directory roles.

• Yancey Outreach International Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Sacramento, CA
  • NPI 1033739321
  NPD (past)

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1942955455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 DEL PASO RD 130",
            "address_2": "250",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "95835",
            "telephone_number": "916-914-5012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1457 DREAMY WAY",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958351761",
            "telephone_number": "131-050-0866"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "STEPHANIE",
        "middle_name": "U",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1457240222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "revsjohnson@aol.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1457 Dreamy Way",
            "city": "Sacramento",
            "state": "CA",
            "country_code": "US",
            "postal_code": "958351761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STEPHANIE U",
            "last_name": "YANCY",
            "middle_name": "JOHNSON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Shoaaxum Johnson, BA, RBT
• Sicilia Christine Johnson
• Stacey Johnson, CADC-CAS
• Staci Marie Johnson, R.N
• Stephanie Johnson
• Sumon Johnson, NP
• Sydney Johnson, RADT
• Tamaya Johnson
• Taryn C Johnson, MFT
• Teja Johnson

• Addiction (Substance Use Disorder) Counselor in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.