Individual provider Active NPI

Janice Charlene Johnson, PH.D.,LMFT,C.HT

  • Marriage & Family Therapist
  • Los Angeles, CA
National Provider Identifier
1174638506
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT6296 Issued in CA
Practice address
1660 Virginia Rd
Los Angeles, CA 90019-5934
Phone
(323) 734-9522
Fax
(323) 734-9522
NPI assigned
Aug 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFT6296 CA Primary

Addresses

Primary practice location

1660 Virginia Rd
Los Angeles, CA 90019-5934

Mailing address

1660 Virginia Rd
Los Angeles, CA 90019-5934
Phone (323) 734-9522

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFT6296CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174638506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1660 VIRGINIA RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900195934",
            "telephone_number": "323-734-9522",
            "fax_number": "323-734-9522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 VIRGINIA RD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900195934",
            "telephone_number": "323-734-9522",
            "fax_number": "323-734-9522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JANICE",
        "middle_name": "CHARLENE",
        "name_prefix": "Dr.",
        "credential": "PH.D.,LMFT,C.HT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT6296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.