Individual provider Active NPI

Belinda Marie Dennis-Johnson, MA, MFT

  • Marriage & Family Therapist
  • Mission Viejo, CA
National Provider Identifier
1174704480
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT 36068 Issued in CA
Practice address
23120 Alicia Pkwy Ste 200
Mission Viejo, CA 92692-1212
Phone
(949) 633-5056
NPI assigned
Nov 15, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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 36068 CA
Marriage & Family Therapist 106H00000X MFT 36068 CA Primary

Addresses

Primary practice location

23120 Alicia Pkwy Ste 200
Mission Viejo, CA 92692-1212

Mailing address

21561 Flamenco
Mission Viejo, CA 92692-1014
Phone (949) 633-5056

Other practice location 1

21561 Flamenco
Mission Viejo, CA 92692-1014
Phone (949) 951-5069

Other identifiers 1

IdentifierTypeStateIssuer
37-1494632OtherCAPRIVATE PRACTICE

Other names 1

  • Ms. Belinda Marie Johnson Professional name

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
I20240611000526 CA Practitioner - Marriage and Family Therapist 6002358637 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

21561 Flamenco
Mission Viejo, CA 92692-1014
Phone (949) 633-5056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
36068CAMDPsychologist
MFT 36068CAMDMarriage & Family Therapist

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.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1174704480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21561 FLAMENCO",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926921014",
            "telephone_number": "949-633-5056",
            "fax_number": "949-951-5056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23120 ALICIA PKWY STE 200",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926921212",
            "telephone_number": "949-633-5056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21561 Flamenco",
            "address_purpose": "LOCATION",
            "city": "Mission Viejo",
            "state": "CA",
            "postal_code": "926921014",
            "country_code": "US",
            "telephone_number": "949-951-5069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENNIS-JOHNSON",
        "first_name": "BELINDA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "MA, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "36068",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 36068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE PRACTICE",
            "identifier": "37-1494632",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BELINDA",
            "last_name": "JOHNSON",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Mission Viejo, CA

Sources for this page

Verify at the official NPI Registry.