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STEPHANIE MONIQUE JOHNSON
NPI 1063882827
Counselor in San Rafael, CA

Active since October 05, 2015
3230 KERNER BLVD, SAN RAFAEL, CA 94901(414) 473-4101 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 26, 2023, Dec 22, 2021 (2 updates tracked since 2021).

About Stephanie Monique Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STEPHANIE MONIQUE JOHNSON (NPI 1063882827) is an individual counselor in San Rafael, California and active in the NPI registry since October 2015.

NPPES Registry Identity

NPI1063882827
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameSTEPHANIE MONIQUE JOHNSON
Location Address3230 KERNER BLVDSan Rafael, CA 94901-4840
Mailing Address3230 Kerner BlvdSan Rafael, CA 94901-4840 · Fax (661) 868-6666
Phone(414) 473-4101
Sole ProprietorNo
Enumeration DateOctober 5, 2015
Last NPPES UpdateJuly 26, 20232 updates tracked since enumeration
NPPES CertifiedJuly 26, 2023
✔ NPI 1063882827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Also ListedPeer SpecialistTaxonomy 175T00000X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3230 KERNER BLVD, San Rafael, CA 94901
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH MAGID MSW
Social Worker
3230 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (415) 473-6769
VERENICE IVETTE LOPEZ-MEZA
Peer Specialist
3230 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (415) 473-5063
KATHLEEN E HAWKINS
Student in an Organized Health Care Education/Training Program
3230 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (415) 473-6769
MRS. SANDRA MARIA RAMIREZ GRIGGS M.F.T.
Marriage & Family Therapist
3230 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (415) 485-2415
MS. MICHELLE RAE KEMP CERTIFIED PEER
Peer Specialist
3230 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (415) 368-5221
SERGIO RUIZ MS, MDFT, PCI
Counselor (Professional)
3230 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (415) 299-3646
DAWN MARCELLA HENSLEY
Case Manager/Care Coordinator
3230 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (415) 473-7814
SADEGH NOBARI MFT
Marriage & Family Therapist
3230 KERNER BLVD
SAN RAFAEL, CA 94901
Marin County (415) 328-9797

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Stephanie Johnson's NPI number?

The NPI number for Stephanie Johnson is 1063882827. It was assigned to this individual provider in the NPPES registry on October 5, 2015.

Where is Stephanie Johnson located?

Stephanie Johnson practices at 3230 Kerner Blvd, San Rafael, CA 94901. The listed phone number is (414) 473-4101.

What is Stephanie Johnson's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Stephanie Johnson was last updated on July 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.