Individual provider Active NPI

David Alan Johnston, LMFT

  • Marriage & Family Therapist
  • Eureka, CA
National Provider Identifier
1437299450
Registry record updated Sep 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 39235 Issued in CA
Practice address
517 3Rd St Ste 40
Eureka, CA 95501-0460
Phone
(707) 798-6488
Fax
(707) 441-1054
NPI assigned
Feb 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 39235 CA Primary

Addresses

Primary practice location

517 3Rd St Ste 40
Eureka, CA 95501-0460

Mailing address

517 3Rd St Ste 40
Eureka, CA 95501-0460
Phone (707) 798-6488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240503000747 CA Practitioner - Marriage and Family Therapist 8224474309 Practice locations: Arcata, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

48 Sunnybrae Ctr
Arcata, CA 95521-6742
Phone (707) 630-3982

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC 39235CAMDMarriage & Family Therapist
39235CAMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1437299450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 3RD ST STE 40",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955010460",
            "telephone_number": "707-798-6488",
            "fax_number": "707-441-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 3RD ST STE 40",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955010460",
            "telephone_number": "707-798-6488",
            "fax_number": "707-441-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "DAVID",
        "middle_name": "ALAN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 39235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.