STACY LEE JOHNSON
NPI 1235684408
Counselor - Addiction (Substance Use Disorder) in Tacoma, WA

Active since August 17, 2016
1307 S 11TH ST, TACOMA, WA 98405(253) 682-2180 Get Directions Write a Review

NPPES record last updated: August 25, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 25, 2020, Aug 17, 2016 (2 updates tracked since 2016).

About Stacy Lee Johnson NPPES

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

STACY LEE JOHNSON (NPI 1235684408) is an individual addiction (substance use disorder) provider in Tacoma, Washington, licensed in Washington (CP60741726) and active in the NPI registry since August 2016. She maintains a secondary practice location in Spanaway.

NPPES Registry Identity

NPI1235684408
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameSTACY LEE JOHNSON
Location Address1307 S 11TH STTacoma, WA 98405-3644
Mailing AddressPo Box 685Spanaway, WA 98387-0685 · (253) 538-2323
Sole ProprietorYes
Enumeration DateAugust 17, 2016
Last NPPES UpdateAugust 25, 20202 updates tracked since enumeration
NPPES CertifiedAugust 25, 2020
NPI 1235684408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WA · CP60741726
Also ListedEarly Intervention Provider AgencyTaxonomy 252Y00000X · License CO60237827 (WA)
1307 S 11TH ST, Tacoma, WA 98405

Secondary Practice Location 1

Location 117002 Pacific Ave SSpanaway, WA 98387-8253 · Phone (253) 538-2323

Other Providers at the Same Location NPPES 6

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

Surgery
1307 S 11TH ST
TACOMA, WA 98405
Clinic/Center (Federally Qualified Health Center (FQHC))
1307 S 11TH ST
TACOMA, WA 98405
Clinic/Center (Federally Qualified Health Center (FQHC))
1307 S 11TH ST
TACOMA, WA 98405
Clinic/Center (Federally Qualified Health Center (FQHC))
1307 S 11TH ST
TACOMA, WA 98405
Social Worker (Clinical)
1307 S 11TH ST
TACOMA, WA 98405
Clinic/Center (Federally Qualified Health Center (FQHC))
1307 S 11TH ST
TACOMA, WA 98405

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 1235684408. It was assigned to this individual provider in the NPPES registry on August 17, 2016.

Where is Stacy Johnson located?

Stacy Johnson practices at 1307 S 11th St, Tacoma, WA 98405. The listed phone number is (253) 682-2180.

What is Stacy Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Stacy Johnson was last updated on August 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.