Individual provider Active NPI

Laura L.C. Johnson, MBA, MA, LMFT, LPCC

  • Marriage & Family Therapist
  • Saratoga, CA
National Provider Identifier
1144534645
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC48807 Issued in CA
Practice address
12961 Village Dr
Suite C
Saratoga, CA 95070-4158
Phone
(408) 384-8404
NPI assigned
Jul 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC48807 CA Primary
Mental Health Counselor 101YM0800X LPC-47 CA

Addresses

Primary practice location

12961 Village Dr
Suite C
Saratoga, CA 95070-4158

Mailing address

12961 Village Dr
Suite C
Saratoga, CA 95070-4158
Phone (408) 384-8404

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
Credentials
Master of Arts, Master of Business Administration

State licenses

LicenseStateTypeSpecialty
LPC-47CAMDMental Health Counselor
MFC48807CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cognitive Behavior Therapy Center Adult & Counseling, Inc. Marriage & Family Therapist Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421193600000",
    "number": "1144534645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12961 VILLAGE DR",
            "address_2": "SUITE C",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704158",
            "telephone_number": "408-384-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12961 VILLAGE DR",
            "address_2": "SUITE C",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704158",
            "telephone_number": "408-384-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LAURA",
        "middle_name": "L.C.",
        "credential": "MBA, MA, LMFT, LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-27",
        "last_updated": "2015-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC48807",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPC-47",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.