Kristen Layne Johnson, AMFT

Individual provider Active NPI Marriage & Family Therapist · Orcutt, CA

NPI 1245022003 · NPPES record last updated May 19, 2025

Key facts

NPI
1245022003
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
AMFT152156 (CA)
Practice address
195 S Broadway St
Orcutt, CA 93455-4626
Phone
(805) 264-5222
NPI assigned
May 19, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
AMFT152156CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT152156 CA Yes

Addresses

Primary practice location

195 S Broadway St
Orcutt, CA 93455-4626

Mailing address

333 Hartnell Rd
Santa Maria, CA 93455-4778
Phone (805) 264-5222

Other providers in Orcutt, CA

All providers in Orcutt, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.