Tracey St Johns, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

260 Maple CT Ste 228
Ventura, CA 93003-3516

Phone

(805) 637-1620

NPI assigned

Jan 16, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Foundation for the Spiritual Practice of Creativity

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ventura, CA
  • NPI 1598416513
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1013547157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 MAPLE CT STE 228",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033516",
            "telephone_number": "805-637-1620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MAPLE CT STE 228",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033516",
            "telephone_number": "805-637-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST JOHNS",
        "first_name": "TRACEY",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2023-11-27",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.changewithinreach.care",
            "affiliation": "Y",
            "affiliationName": "Change Within Reach INC",
            "address_1": "2650 Jones Way Ste 24",
            "city": "Simi Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "930651224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Irving Paul Splies Jr., DC
• Noah J Splies, DC
• Marisa Sportelli, M.D.
• Hannah Capri Sprague
• SSG School Psychology and Mental Health, PC
• Madison Stacy
• Shanel Loren Alvarado Stadheim, DNP
• Staff Assistance, Inc.
• Staff Asssistance Inc
• Guiselda Stafford, RN, PHN

• Marriage & Family Therapist in Ventura, CA
• Providers in Ventura, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.