Individual provider Active NPI

Maya Rachel Johansson, MA

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1285968800
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
51090 Issued in CA
Practice address
383 Rhode Island St Ste 201
San Francisco, CA 94103-5185
Phone
(415) 238-0898
NPI assigned
Sep 29, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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 IMF61313 CA
Marriage & Family Therapist 106H00000X 51090 CA Primary

Addresses

Primary practice location

383 Rhode Island St Ste 201
San Francisco, CA 94103-5185

Mailing address

383 Rhode Island St Ste 201
San Francisco, CA 94103-5185
Phone (415) 238-0898

Other practice location 1

1426 Fillmore St
ste.204
San Francisco, CA 94115-5236
Phone (415) 963-4149

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
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMF61313CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Johansson Yarbrough Marriage and Family Therapy Corporation Current Accepting new patients
Urban Services YMCA Past Accepting new patients

Locations

383 Rhode Island St
Ste 201
San Francisco, CA 94103
Phone (415) 238-0898

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": "1254182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1285968800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "383 RHODE ISLAND ST STE 201",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941035185",
            "telephone_number": "415-238-0898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "383 RHODE ISLAND ST STE 201",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941035185",
            "telephone_number": "415-238-0898"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1426 Fillmore St",
            "address_2": "ste.204",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941155236",
            "country_code": "US",
            "telephone_number": "415-963-4149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHANSSON",
        "first_name": "MAYA",
        "middle_name": "RACHEL",
        "name_prefix": "Ms.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-29",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF61313",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "51090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.

Verify at the official NPI Registry.