Active NPI
Jenna Johnson Family Therapy, Inc.
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1205404464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- JENNA JOHNSON FAMILY THERAPY, INC.
- Practice address
- 3650 Clairemont Dr Ste 6
San Diego, CA 92117-5972 - Phone
- (916) 390-7298
- NPI assigned
- Jun 15, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jenna Ellen Johnson, LMFT
- Title
- Ceo
- Phone
- (916) 390-7298
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
3650 Clairemont Dr Ste 6
San Diego, CA 92117-5972
Mailing address
3650 Clairemont Dr Ste 6
San Diego, CA 92117-5972
Phone (916) 390-7298
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336551597 | Other | NPI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | https://www.linkedin.com/in/jennapope/ | Direct |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Orange, CA
- NPI 1336551597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623715200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623715200000",
"number": "1205404464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 CLAIREMONT DR STE 6",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921175972",
"telephone_number": "916-390-7298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 CLAIREMONT DR STE 6",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921175972",
"telephone_number": "916-390-7298"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JENNA JOHNSON FAMILY THERAPY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-15",
"last_updated": "2021-06-15",
"certification_date": "2021-06-15",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "JENNA",
"authorized_official_middle_name": "ELLEN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "916-390-7298",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1336551597",
"state": null
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "https://www.linkedin.com/in/jennapope/",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3650 Clairemont Dr Ste 6",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921175972",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.