Organization Active NPI

Junko Johnson Marriage & Family Therapy Professional Corporation

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Laguna Hills, CA
National Provider Identifier
1386306116
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
JUNKO JOHNSON MARRIAGE & FAMILY THERAPY PROFESSIONAL CORPORATION
Practice address
25255 Cabot Rd Ste 228
Laguna Hills, CA 92653-5529
Phone
(949) 432-6693
Fax
(949) 298-3969
NPI assigned
Oct 8, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Authorized official

Name
Junko Johnson, LMFTNPI 1225589112
Title
President
Phone
(949) 432-6693

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

25255 Cabot Rd Ste 228
Laguna Hills, CA 92653-5529

Mailing address

11 Arborside Way
Mission Viejo, CA 92692-5950
Phone (949) 413-3350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260504007796 CA Part B Supplier - Clinic/Group Practice 1658849039 Receives reassigned benefits from 1 practitioner
Practice locations: Laguna Hills, CA

National Provider Directory

National Provider Directory

Locations

25255 Cabot Rd
Ste 228
Laguna Hills, CA 92653
Phone (949) 432-6693

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1386306116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ARBORSIDE WAY",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926925950",
            "telephone_number": "949-413-3350",
            "fax_number": "949-298-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25255 CABOT RD STE 228",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926535529",
            "telephone_number": "949-432-6693",
            "fax_number": "949-298-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUNKO JOHNSON MARRIAGE & FAMILY THERAPY PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JUNKO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-432-6693",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.