Stacy Ryan Johnson, BS in Eden Prairie, MN - Medicare Marriage & Family Therapist Provider

Stacy Ryan Johnson, BS is a medicare enrolled "Marriage & Family Therapist" provider in Eden Prairie, Minnesota. His current practice location is 7527 Mitchell Road, 100, Eden Prairie, Minnesota. You can reach out to his office (for appointments etc.) via phone at (952) 228-2282.

Stacy Ryan Johnson is licensed to practice in Minnesota (license number 2290) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1588844898.

Contact Information

	Stacy Ryan Johnson, BS
	7527 Mitchell Road, 100, Eden Prairie, MN 55344
	(952) 228-2282
	(952) 224-2284

Map and Direction

Healthcare Provider's Profile

Full Name	Stacy Ryan Johnson
Gender	Male
Speciality	Marriage & Family Therapist
Location	7527 Mitchell Road, Eden Prairie, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588844898
Provider Enumeration Date: 11/05/2007
Last Update Date: 09/27/2025

Medicare PECOS Information:

PECOS PAC ID: 9234570672
Enrollment ID: I20240515004283

Medical Identifiers

Medical identifiers for Stacy Ryan Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588844898	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	2290 (Minnesota)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Stacy Ryan Johnson allows following entities to bill medicare on his behalf.

Entity Name	Family Innovations Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992862783 PECOS PAC ID: 6204178528 Enrollment ID: O20190506002814

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Stacy Ryan Johnson is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Stacy Ryan Johnson, BS 2115 County Road D E, Suite B, Maplewood, MN 55109-5353 Ph: (651) 748-5019	Stacy Ryan Johnson, BS 7527 Mitchell Road, 100, Eden Prairie, MN 55344 Ph: (952) 228-2282

Reviews and Comments

Marriage & Family Therapist in Eden Prairie, MN

Ms. Cindy Kay Lea, MA, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11800 Singletree Ln, Suite 204, Eden Prairie, MN 55344 Phone: 612-965-3052
Wa S Cheng-berg, MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 11010 Prairie Lakes Dr Ste 350, Eden Prairie, MN 55344 Phone: 952-746-2522 Fax: 952-746-0887
Mrs. Asha Isse, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 7550 Market Place Dr Ste 3, Eden Prairie, MN 55344 Phone: 651-299-0044
Faye Wallus, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 12900 Technology Dr Apt 654, Eden Prairie, MN 55344 Phone: 651-503-5968
Mrs. Briana Jo Freeberg, MA, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 6458 City W Pkwy, Eden Prairie, MN 55344 Phone: 651-815-2045
Ms. Dawn N Ramaker, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 6542 Regency Ln, Suite 202, Eden Prairie, MN 55344 Phone: 952-903-9202
Christa Rose Erickson, Couples Therapy Medicare: Medicare Enrolled Practice Location: 6458 City West Pkwy, Eden Prairie, MN 55344 Phone: 952-767-5900

Stacy Ryan Johnson, BS - Medicare Couples Therapy in Eden Prairie, MN