Active NPI
Lisa Pimentel Johnson
- Mental Health Counselor
- San Luis Obispo, CA
National Provider Identifier
1124348669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3765 S Higuera St
Suite 100
San Luis Obispo, CA 93401-1570 - Phone
- (805) 781-3535
- NPI assigned
- Jun 7, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3765 S Higuera St
Suite 100
San Luis Obispo, CA 93401-1570
Mailing address
3765 S Higuera St
Suite 100
San Luis Obispo, CA 93401-1570
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Network, Inc. | Past | Accepting new patients | |
| Family Care Network, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Paso Robles, CA
- NPI 1124212378
-
- Community/Behavioral Health Agency
- Shandon, CA
- NPI 1902005697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275868800000",
"number": "1124348669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3765 S HIGUERA ST",
"address_2": "SUITE 100",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934011570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3765 S HIGUERA ST",
"address_2": "SUITE 100",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934011570",
"telephone_number": "805-781-3535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIMENTEL JOHNSON",
"first_name": "LISA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-07",
"last_updated": "2010-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.