Mark Glasgow Johnson, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

0717001443 Issued in VA

Practice address

420 3Rd St NE
Charlottesville, VA 22902-4620

Phone

(434) 886-0500

NPI assigned

Mar 6, 2018

Last updated

Mar 6, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520294400000",
    "number": "1033611041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3249 TIMBERWOOD PKWY",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229117232",
            "telephone_number": "707-303-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 3RD ST NE",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229024620",
            "telephone_number": "434-886-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARK",
        "middle_name": "GLASGOW",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-06",
        "last_updated": "2018-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "VA",
            "license": "0717001443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Johnson, MD
• Kathryn Rosa Johnson
• Ladarious Johnson
• Leslie A. Johnson, LPC
• Mallory M Johnson, AG-ACNP
• Ryan M Johnson, DO
• Terah Nathaniel Johnson
• Tyler Jeffery Johnson, MD
• Amy Johnston
• Karen Chodack Johnston

• Marriage & Family Therapist in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Marriage & Family Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2018; 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.