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

Individual provider Marriage & Family Therapist · NPI 1588844898

Stacy Ryan Johnson, BS is a Marriage and Family Therapist in Eden Prairie, Minnesota. Qualified in 2008, 18 years ago. Practices with Family Innovations Inc, a 93-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
18
Licensed in
MN
In the registry since
2007
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.

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Practice location Address checks out

7527 Mitchell Road 100
Eden Prairie, MN 55344
Phone: (952) 228-2282
Fax: (952) 224-2284
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 2290 (MN)

Record details

NPI number1588844898
Entity typeIndividual (Type 1)
GenderMale
Credentials BS
Sole proprietorNo
NPI enumeratedNovember 5, 2007
Last updated in NPPESSeptember 27, 2025
Certification dateSeptember 27, 2025

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Family Innovations Inc — 93 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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