Mark N Johnson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1827 Atlanta Ave
Suite D3
Riverside, CA 92507-7419

Phone

(951) 955-8000

NPI assigned

Oct 23, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1346678653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1422 E 9TH ST",
            "address_2": "APT 132",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924104107",
            "telephone_number": "702-513-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 ATLANTA AVE",
            "address_2": "SUITE D3",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925077419",
            "telephone_number": "951-955-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MARK",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristy Lee Johnson
• Leshay Johnson
• Lorryn Michelle Johnson, DC
• Lynnette Johnson
• Mandy Johnson
• Maurice D Johnson Sr.
• McKenna Johnson
• Michael Johnson
• Michael T. Johnson, D.D.S.
• Michelle Gabrielle Johnson

• Mental Health Counselor in Riverside, CA
• Providers in Riverside, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2013; 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.