Individual provider Active NPI

Emani Johnson

  • Professional Counselor
  • Rialto, CA
National Provider Identifier
1346904174
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
224 N Riverside Ave Ste D
Rialto, CA 92376-5968
Phone
(909) 990-5116
NPI assigned
Oct 27, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

224 N Riverside Ave Ste D
Rialto, CA 92376-5968

Mailing address

1500 S Haven Ave Ste 250
Ontario, CA 91761-2973
Phone (909) 749-5204

Other practice location 1

1500 S Haven Ave Ste 250
Ontario, CA 91761-2973
Phone (909) 749-5204

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

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Effective Life Transitions Professional CurrentSince Aug 25, 2025 Accepting new patients
Behavior Genius LLC Behavior Technician CurrentSince Apr 9, 2023 Accepting new patients

Locations

1500 S Haven Ave
Ste 250
Ontario, CA 91761
Phone (888) 928-8860

224 N Riverside Ave
Ste D
Rialto, CA 92376
Phone (909) 820-2380

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": "1635292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1346904174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S HAVEN AVE STE 250",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917612973",
            "telephone_number": "909-749-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 N RIVERSIDE AVE STE D",
            "city": "RIALTO",
            "state": "CA",
            "postal_code": "923765968",
            "telephone_number": "909-990-5116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 S Haven Ave Ste 250",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917612973",
            "country_code": "US",
            "telephone_number": "909-749-5204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "EMANI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-27",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rialto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.