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

Mrs. Stacy Jeanine Johnson, LPC

Individual provider Professional Counselor · NPI 1336470863

Mrs. Stacy Jeanine Johnson, LPC is a Mental Health Counselor in Charlotte, North Carolina. Qualified in 1992, 34 years ago. Practices as a sole proprietor. Licensed in North Carolina.

Years since qualifying
34
Licensed in
NC
In the registry since
2010
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

9109 Foggy Meadown Rd
Charlotte, NC 28269
Phone: (704) 875-6991
Fax: (704) 875-6961
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 7711 (NC)

Record details

NPI number1336470863
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedJanuary 22, 2010
Last updated in NPPESJanuary 22, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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