Active NPI
Randy Ray Johnson
- Marriage & Family Therapist
- South Jordan, UT
National Provider Identifier
1114043072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 117085-3902
- Practice address
- 1226 W South Jordan Pkwy
South Jordan, UT 84095 - Phone
- (801) 302-1155
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 117085-3902 | UT | Primary |
Addresses
Primary practice location
1226 W South Jordan Pkwy
South Jordan, UT 84095
Mailing address
8636 S 1700 E
Sandy, UT 84093-1412
Phone (801) 879-5579
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deborah a Christensen PHD & Associates, Inc | Current | Accepting new patients |
Locations
248 E 13800 S
Ste 4
Draper, UT 84020
Phone (702) 483-5044
Organizations & group practices 1
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.
-
- Psychologist
- Draper, UT
- NPI 1891955936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114043072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8636 S 1700 E",
"city": "SANDY",
"state": "UT",
"postal_code": "840931412",
"telephone_number": "801-879-5579"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1226 W SOUTH JORDAN PKWY",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "84095",
"telephone_number": "801-302-1155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "RANDY",
"middle_name": "RAY",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "UT",
"license": "117085-3902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Jordan, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.