IndividualActive
Stacy Johnson, LPC
NPI 1235595091 · Mental Health Counselor · Portland, OR
Provider details
- NPI number
- 1235595091
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LPC
- Sex
- Female
- Sole proprietor
- No
- License
- C2585 (OR)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
621 Sw Alder St Ste 400
Portland, OR 97205-3619
Phone: (971) 270-6766
Approximate (ZIP-level) locationGet directions
Mailing address
621 Sw Alder St Ste 400
Portland, OR 97205-3619
Registry dates
- Enumerated
- 2016-01-11
- Last updated
- 2016-01-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.