MRS. STACY JEANINE JOHNSON LPC
NPI 1336470863
Counselor - Professional in Charlotte, NC

Active since January 22, 2010PECOS Enrolled
9109 FOGGY MEADOWN ROAD, CHARLOTTE, NC 28269(704) 875-6991(704) 875-6961 Get Directions Write a Review

NPPES record last updated: January 22, 2010. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Mrs. Stacy Jeanine Johnson Lpc NPPES

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

MRS. STACY JEANINE JOHNSON LPC (NPI 1336470863) is an individual professional provider in Charlotte, North Carolina, licensed in North Carolina (7711) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336470863
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. STACY JEANINE JOHNSONCredential: LPC
Location Address9109 FOGGY MEADOWN ROADCharlotte, NC 28269
Mailing Address9109 Foggy Meadow RdCharlotte, NC 28269-1552 · (704) 875-6991
Fax(704) 875-6961
Sole ProprietorYes
Enumeration DateJanuary 22, 2010
✔ NPI 1336470863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in NC · 7711
9109 FOGGY MEADOWN ROAD, Charlotte, NC 28269

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Stacy Jeanine Johnson Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Stacy Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community/Behavioral Health
8535 CLIFF CAMERON DR STE 100
Charlotte, NC 28269
  • Reassigned Medicare billing, North Carolina enrollment
  • 8 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 1336470863. It was assigned to this individual provider in the NPPES registry on January 22, 2010.

Where is Stacy Johnson located?

Stacy Johnson practices at 9109 Foggy Meadown Road, Charlotte, NC 28269. The listed phone number is (704) 875-6991.

What is Stacy Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Stacy Johnson enrolled in Medicare?

Yes. Stacy Johnson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stacy Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stacy Johnson reassigns Medicare benefits to Empowerment Quality Care Services, LLC (Charlotte, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stacy Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stacy Johnson accept?

Health plans from Oscar Health Plan of North Carolina, Inc and UnitedHealthcare list Stacy Johnson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Stacy Johnson was last updated on January 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.