1. Home
  2. Directory
  3. California
  4. Irvine
  5. Counselor
  6. NPI Profile

STACI R JOHNSON LMHC, LPCC
NPI 1619506235
Counselor - Mental Health in Irvine, CA

Active since April 06, 2020Opted out of Medicare · through Jan 9, 2028
7700 IRVINE CENTER DR STE 800, OFFICE 32, IRVINE, CA 92618(317) 316-2787 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Staci R Johnson Lmhc, Lpcc NPPES

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

STACI R JOHNSON LMHC, LPCC (NPI 1619506235) is an individual mental health provider in Irvine, California, licensed in California (14743) and active in the NPI registry since April 2020. She has opted out of Medicare through January 9, 2028.

NPPES Registry Identity

NPI1619506235
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTACI R JOHNSONCredential: LMHC, LPCC
Location Address7700 IRVINE CENTER DR STE 800, OFFICE 32Irvine, CA 92618-3047
Mailing Address23 BombayIrvine, CA 92620-4806 · (317) 316-2787
Phone(317) 316-2787
Sole ProprietorNo
Enumeration DateApril 6, 2020
Last NPPES UpdateJanuary 9, 2024
NPPES CertifiedJanuary 4, 2024
✔ NPI 1619506235 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in CA · 14743✔ Licensed in IN · 39003708A
7700 IRVINE CENTER DR STE 800, Irvine, CA 92618
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Staci R Johnson Lmhc, Lpcc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 9, 2024 through January 9, 2028.

Opt-Out Effective DateJanuary 9, 2024
Opt-Out In Effect ThroughJanuary 9, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 10

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

NIMA TAHERI MD
Hospitalist
7700 IRVINE CENTER DR STE 800
IRVINE, CA 92618
Orange County (949) 236-7127
NIMA TAHERI MD INC
Hospitalist
7700 IRVINE CENTER DR STE 800
IRVINE, CA 92618
Orange County (949) 236-7127
SARA NICOLE HICKS
Counselor (Mental Health)
7700 IRVINE CENTER DR STE 800
IRVINE, CA 92618
Orange County (949) 749-7650
LUMINA INTEGRATED BEHAVIOR INC
Behavior Analyst
7700 IRVINE CENTER DR STE 800
IRVINE, CA 92618
Orange County (571) 449-0309
RICHARD RECOR, INC
Psychologist (Clinical)
7700 IRVINE CENTER DR STE 800
IRVINE, CA 92618
Orange County (949) 720-0167
DR. RICHARD DUANE RECOR
Psychologist (Clinical)
7700 IRVINE CENTER DR STE 800
IRVINE, CA 92618
Orange County (949) 720-0167
PREMIER ACUPUNCTURE & WELLNESS, INC.
Acupuncturist
7700 IRVINE CENTER DR STE 800, OFFICE 26
IRVINE, CA 92618
Orange County (951) 268-4418
NATHANIEL LEWIS MOORE LMFT
Marriage & Family Therapist
7700 IRVINE CENTER DR STE 800
IRVINE, CA 92618
Orange County (714) 580-9654

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 Staci Johnson's NPI number?

The NPI number for Staci Johnson is 1619506235. It was assigned to this individual provider in the NPPES registry on April 6, 2020.

Where is Staci Johnson located?

Staci Johnson practices at 7700 Irvine Center Dr Ste 800 Office 32, Irvine, CA 92618. The listed phone number is (317) 316-2787.

What is Staci Johnson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Staci Johnson enrolled in Medicare?

No. Staci Johnson has opted out of Medicare through January 9, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Staci Johnson was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.