STACY JOHNSON LPC NPI 1235595091

NPI Information

NPI: 1235595091
Provider Name: STACY JOHNSON, LPC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
621 SW ALDER ST STE 400
PORTLAND, OR
ZIP 97205
Phone: (971) 270-6766
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Stacy Johnson, LPC is a mental health counselor in Portland, OR. Stacy Johnson, LPC NPI is 1235595091. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

621 SW ALDER ST STE 400
PORTLAND, OR
ZIP 97205-619
Phone: (971) 270-6766

The enumeration date for this NPI number is 1/11/2016 and was last updated on 1/11/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	C2585	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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