Susan N Johnson, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC36678 Issued in CA

Practice address

8850 Auburn Folsom Rd
Suite a
Granite Bay, CA 95746-6525

Phone

(530) 210-9349

Fax

(916) 772-8527

NPI assigned

Jul 18, 2006

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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lumen Health and Psychological Services Inc.Group PAC ID 5799012266, 26 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lumen Health and Psychological Services Inc.

  • Clinical Psychologist
  • Citrus Heights, CA
  • NPI 1366978843
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392249600000",
    "number": "1104844737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 LEAFWOOD WAY",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956301608",
            "telephone_number": "530-210-9349",
            "fax_number": "916-772-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8850 AUBURN FOLSOM RD",
            "address_2": "SUITE A",
            "city": "GRANITE BAY",
            "state": "CA",
            "postal_code": "957466525",
            "telephone_number": "530-210-9349",
            "fax_number": "916-772-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SUSAN",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC36678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peggy Jarvis
• Robyn L Jennings, ACSW
• Ashley Robin Jimenez
• Gikkea Johnson
• Lynn A. Johnson, D.C.
• Alicia Jordan Chambers
• Trina Juarez
• Neil Kumar Kalia, D.C.
• Amanpreet Kaur
• Kenneth R, Marti DDS Inc.

• Marriage & Family Therapist in Granite Bay, CA
• Providers in Granite Bay, 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 Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.