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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

STACY JOHNSON
NPI 1184537789
Peer Specialist in Lakeport, CA

Active since September 24, 2026
150 S MAIN ST, LAKEPORT, CA 95453(707) 467-2010 Get Directions Write a Review

NPPES record added: September 24, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Stacy Johnson NPPES

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

STACY JOHNSON (NPI 1184537789) is an individual peer specialist in Lakeport, California and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1184537789
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameSTACY JOHNSON
Location Address150 S MAIN STLakeport, CA 95453-5017
Mailing AddressPo Box 2077Ukiah, CA 95482-2077
Phone(707) 467-2010
Sole ProprietorNo
Enumeration DateSeptember 24, 2026
NPPES CertifiedSeptember 24, 2026
✔ NPI 1184537789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
150 S MAIN ST, Lakeport, CA 95453
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Other Providers at the Same Location NPPES 9

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

MESSINA SALAZAR
Rehabilitation Practitioner
150 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 994-5486
JOVANY CARRILLO
Rehabilitation Practitioner
150 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 467-2010
REDWOOD COMMUNITY SERVICES, INC.
Community/Behavioral Health
150 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 994-5486
KEITH LOUTON
Day Training/Habilitation Specialist
150 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 994-5486
JESSICA DARNELL
Day Training/Habilitation Specialist
150 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 467-2010
SARAH GOMORA
Rehabilitation Practitioner
150 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 994-5486
TIFFANY MONTIEL
Case Manager/Care Coordinator
150 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 994-5486
RAVON WILCZEWSKI
Peer Specialist
150 S MAIN ST
LAKEPORT, CA 95453
Lake County (707) 994-5486

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 Stacy Johnson's NPI number?

The NPI number for Stacy Johnson is 1184537789. It was assigned to this individual provider in the NPPES registry on September 24, 2026.

Where is Stacy Johnson located?

Stacy Johnson practices at 150 S Main St, Lakeport, CA 95453. The listed phone number is (707) 467-2010.

What is Stacy Johnson's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Stacy Johnson was last updated on September 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.