Active NPI
Justine Hatie Johnson, IMF 61085
- Marriage & Family Therapist
- Lakewood, CA
National Provider Identifier
1326369828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 61085
- Practice address
- 2739 Deerford St
Lakewood, CA 90712-3307 - Phone
- (562) 726-6213
- Fax
- (562) 612-1476
- NPI assigned
- Jun 18, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 61085 | CA | Primary |
Addresses
Primary practice location
2739 Deerford St
Lakewood, CA 90712-3307
Mailing address
2739 Derrford Street
Lakewood, CA 90712
Phone (562) 726-6213
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1276819200000",
"number": "1326369828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2739 DERRFORD STREET",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "90712",
"telephone_number": "562-726-6213",
"fax_number": "562-612-1476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2739 DEERFORD ST",
"city": "LAKEWOOD",
"state": "CA",
"postal_code": "907123307",
"telephone_number": "562-726-6213",
"fax_number": "562-612-1476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "JUSTINE",
"middle_name": "HATIE",
"name_prefix": "Ms.",
"credential": "IMF 61085",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-18",
"last_updated": "2010-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "61085",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakewood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.