Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750655650 Individual Practitioner Female Practitioner

Stacey Johnson

Counselor • Mcalester, OK

Professional Overview & Biography Verified Profile Summary

Stacey Johnson is a registered healthcare professional specializing in Counselor in Mcalester, OK. Practice services are available at 111 S MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

111 S Main St

Mcalester, OK 745015363

Telephone 9184235204
Associated Practice Facility / Clinic
🏢 Center 4 Change, L.l.c. Facility NPI 1437468725

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Mcalester, OK

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
73 Specialists

Practicing in Mcalester, OK (4611 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OK TEACHER

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

17 Associated Practitioners
Janet Daniel

Case Manager/Care Coordinator

NPI 1134488737
Maegan Reed

Behavior Analyst

NPI 1265705891
John Cassell , BS

Case Management

NPI 1316369093

Bachelor of Science

Naomi Ingle

Community/Behavioral Health

NPI 1326326208
Nick Dodson , BHRS

Community/Behavioral Health

NPI 1376836882
Sonja Dejacimo , BS

Community/Behavioral Health

NPI 1427317072

Bachelor of Science

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active February 24, 2012

NPI status registered as active in NPPES database

📍
Updated Practice Location February 24, 2012

Registered at 111 S MAIN ST, MCALESTER, OK 745015363 (Tel: 9184235204)

📍
Updated Business Mailing Address February 24, 2012

Registered at 304 JANET LN, POCOLA, OK 749023361 (Tel: 4792217261)

👤
Provider Name / Credentials Updated February 24, 2012

Recorded as STACEY JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 24, 2012

Counselor (License #TEACHER in OK)

🟢
Initial NPI Registration & Enumeration February 24, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1750655650
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 24, 2012
Last Update: February 24, 2012
Sole Proprietor: Yes

Mailing Address

304 Janet Ln

Pocola, OK 749023361

Phone: 4792217261

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.