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

Individual provider Mental Health Counselor · NPI 1124865217

Stephanie Octavius- Johnson is a Mental Health Counselor in Far Rockaway, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

6603 Beach Channel Dr
Far Rockaway, NY 11692-1433
Phone: (718) 471-8671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (NY)
Mental Health Counselor Taxonomy 101YM0800X

Record details

NPI number1124865217
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 15, 2024
Last updated in NPPESNovember 6, 2024
Certification dateNovember 6, 2024

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