Organization Active NPI

Tracey St.Johns

  • Preferred Provider Organization
  • Ventura, CA
National Provider Identifier
1033512181
Registry record updated Oct 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
MFT31433 Issued in CA
Legal business name
TRACEY ST.JOHNS
Practice address
4474 Market St
Ventura, CA 93003-8023
Phone
(805) 637-1620
NPI assigned
Oct 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2014

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

Authorized official

Name
Ms. Tracey St.Johns
Title
Marriage and Family Therapist
Phone
(805) 637-1620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X MFT31433 CA Primary

Addresses

Primary practice location

4474 Market St
Ventura, CA 93003-8023

Mailing address

4474 Market St
Ventura, CA 93003-8023

National Provider Directory

National Provider Directory

Locations

4474 Market St
Ventura, CA 93003
Phone (805) 637-1620

NPI Registry JSON

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

{
    "created_epoch": "1412294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412294400000",
    "number": "1033512181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4474 MARKET ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930038023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4474 MARKET ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930038023",
            "telephone_number": "805-637-1620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACEY ST.JOHNS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-03",
        "last_updated": "2014-10-03",
        "status": "A",
        "authorized_official_last_name": "ST.JOHNS",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "805-637-1620",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "MFT31433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2014; 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.