Stacey Shumway Johnson, LPCC-S, LICDC-CS
NPI 1821289034ActiveIndividual· Counselor, Professional· Portsmouth, OH
Counselor, Professional (LPCC-S, LICDC-CS) with McCd Fl Psychiatry Services PA, practicing in Portsmouth, Ohio. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1821289034 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPCC-S, LICDC-CS |
| Sole proprietor | Yes |
| NPI issued | Aug 5, 2007 |
| Last updated in NPPES | Mar 17, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | E.0600469-SUPV | OH |
| Counselor, Professional | 101YP2500X | 104053 | KY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (OH) |
|---|
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- McCd Fl Psychiatry Services PATallahassee, FL · 801 clinicians
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