Kimberly Ann Johnson, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC38827 Issued in CA

Practice address

317 8TH PL
Manhattan Beach, CA 90266-5550

Phone

(310) 210-6334

NPI assigned

Nov 15, 2011

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

Other names 1

• Ms. Kimberly Ann Johnson Professional name

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": "1321315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627344000000",
    "number": "1124305396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 8TH PL",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665550",
            "telephone_number": "310-210-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 8TH PL",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902665550",
            "telephone_number": "310-210-6334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 N Sepulveda Blvd",
            "address_2": "Suite #33",
            "address_purpose": "LOCATION",
            "city": "Manhattan Beach",
            "state": "CA",
            "postal_code": "902662948",
            "country_code": "US",
            "telephone_number": "310-590-8199",
            "fax_number": "310-546-5758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-15",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC38827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "JOHNSON",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Joanna M. Wong, M.D. a Medical Corp.
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• John J.R., M.D., a Medical Corporation
• Christine Johnson, AMFT
• Ann Tucker Jones, R.N.
• Elaine K Jones, MD
• Amy Jane Jonesco, PCD (POSTPARTUM CERT
• Julia R. Moen Chiropractic, Inc.
• Chiaki Miura Jutabha, MD

• Marriage & Family Therapist in Manhattan Beach, CA
• Providers in Manhattan Beach, 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 Jul 27, 2021; 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.