Yashi Amita Johnson, MFC20553

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMFT20553 Issued in CA

Practice address

11486 N Bloomfield Rd
Nevada City, CA 95959-9248

Phone

(530) 277-5477

NPI assigned

Feb 8, 2024

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jan 4, 2024 through Jan 4, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Center for Inner Visions

  • Case Management Agency
  • Nevada City, CA
  • NPI 1821231499
  NPD (past) Authorized official

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

{
    "created_epoch": "1707350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707350400000",
    "number": "1164286308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11486 N BLOOMFIELD RD",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959599248",
            "telephone_number": "530-277-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11486 N BLOOMFIELD RD",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959599248",
            "telephone_number": "530-277-5477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "YASHI",
        "middle_name": "AMITA",
        "name_prefix": "Dr.",
        "credential": "MFC20553",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-08",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LMFT20553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Johnson, CADC
• Belden Johnson, MFT
• Donna Guyot Johnson
• Jeffery Allan Johnson, CADC-CAS
• Joyce Johnson, RDHAP
• Kendra Jones
• Linda Susan Jovanovic, PH.D.
• Megan Kane
• Natasha Kane, DPT
• Samantha Karpus

• Mental Health Counselor in Nevada City, CA
• Providers in Nevada City, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.