Eric Johnson, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 27268 Issued in CA

Practice address

648 Catalina Blvd
San Diego, CA 92106-2802

Phone

(619) 987-3574

NPI assigned

Feb 6, 2014

Last updated

Aug 31, 2020By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Center for Positive Changes

  dba Center for Progressive Wellness

  • Adolescent and Children Mental Health Clinic/Center
  • San Diego, CA
  • NPI 1568169217
  NPD (past)

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1285058511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7474 EL CAJON BLVD",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919427420",
            "telephone_number": "619-660-3886",
            "fax_number": "619-660-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "648 CATALINA BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062802",
            "telephone_number": "619-987-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ERIC",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-06",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT27268",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "27268",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 27268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dion Johnson
• Doyle Eugene Johnson, M.D.
• Edward Johnson III
• Emily Elaine Johnson, RN, APRN, FNP-BC
• Emma Noelani Johnson
• Eric O. Johnson, M.D.
• Erica Johnson, LVN
• Erika C Johnson
• Erin Johnson
• Erin C Johnson, LMFT

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.