Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Stacey Nicolle Johnson

Individual provider Professional Counselor · NPI 1053757286

Mrs. Stacey Nicolle Johnson is a Professional Counselor in Edmond, Oklahoma. Practices as a sole proprietor. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2

Practice location Address checks out

16725 Little Leaf Ln
Edmond, OK 73012-0675
Phone: (405) 409-2878
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X
Professional Counselor Taxonomy 101YP2500X

Record details

NPI number1053757286
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 14, 2013
Last updated in NPPESMay 14, 2013

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