Individual provider Active NPI

Jennifer Johnson, LMFT

  • Marriage & Family Therapist
  • Temecula, CA
National Provider Identifier
1164652806
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
111437 Issued in CA
Practice address
28765 Single Oak Dr Ste 100
Temecula, CA 92590-3661
Phone
(951) 699-4906
NPI assigned
Jul 15, 2009
Last updated
Aug 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 111437 CA Primary

Addresses

Primary practice location

28765 Single Oak Dr Ste 100
Temecula, CA 92590-3661

Mailing address

28765 Single Oak Dr Ste 100
Temecula, CA 92590-3661
Phone (951) 699-4906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240528000221 CA Practitioner - Marriage and Family Therapist 7416399100 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111437CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Psych Partners CurrentSince Mar 31, 2024 Accepting new patients
Psychology Partners a Prof Corp Marriage & Family Therapist PastSince Sep 14, 2025 Accepting new patients

Locations

27349 Jefferson Ave
Ste 111
Temecula, CA 92590
Phone (949) 201-8260

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1164652806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28765 SINGLE OAK DR STE 100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903661",
            "telephone_number": "951-699-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28765 SINGLE OAK DR STE 100",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903661",
            "telephone_number": "951-699-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "111437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

Verify at the official NPI Registry.