Individual provider Active NPI

Therese Marie Johnson, CEO

  • Case Manager/Care Coordinator
  • Auburn, CA
National Provider Identifier
1437706587
Registry record updated Jan 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
12460 Ladd LN
Auburn, CA 95603-9571
Phone
(530) 305-8872
Fax
(530) 466-3133
NPI assigned
Aug 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X XXXXXXXXXXX CA
Case Manager/Care Coordinator 171M00000X
Case Manager/Care Coordinator 171M00000X XXXXXXXXXXXX CA
Case Manager/Care Coordinator 171M00000X CA Primary

Addresses

Primary practice location

12460 Ladd LN
Auburn, CA 95603-9571

Mailing address

12460 Ladd LN
Auburn, CA 95603-9571
Phone (530) 305-8872

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

State licenses

LicenseStateTypeSpecialty
XXXXXXXXXXXCAMDCase Manager/Care Coordinator
XXXXXXXXXXXXCAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Ideal Placement Inc. CurrentSince Sep 4, 2022 Accepting new patients

Organizations & group practices 1

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": "1566518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767916800000",
    "number": "1437706587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12460 LADD LN",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039571",
            "telephone_number": "530-305-8872",
            "fax_number": "530-466-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12460 LADD LN",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956039571",
            "telephone_number": "530-305-8872",
            "fax_number": "530-466-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "THERESE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "CEO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-23",
        "last_updated": "2026-01-09",
        "certification_date": "2026-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "XXXXXXXXXXX",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "XXXXXXXXXXXX",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2026; 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.