Susan Elaine Johnson, LPCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

13270 Issued in CA

Practice address

207 E St Ste B
Davis, CA 95616-4523

Phone

(530) 206-9996

NPI assigned

Jun 18, 2019

Sex

Female

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

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Forward Wellness Family Therapy, Inc.

  • Community/Behavioral Health Agency
  • Placentia, CA
  • NPI 1093398059
  Medicare reassignment NPD

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1447810890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 N FREEWAY BLVD STE 100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958341954",
            "telephone_number": "916-576-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 E ST STE B",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956164523",
            "telephone_number": "530-206-9996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4250 Auburn Blvd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958414100",
            "country_code": "US",
            "telephone_number": "916-489-3336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4825 J St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958193747",
            "country_code": "US",
            "telephone_number": "916-583-8007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Court St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "CA",
            "postal_code": "956422160",
            "country_code": "US",
            "telephone_number": "916-583-8007",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7000 Franklin Blvd Ste 625",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958231884",
            "country_code": "US",
            "telephone_number": "916-388-9418",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "SUSAN",
        "middle_name": "ELAINE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "13270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynelle Rae Johnson, DVM, PHD
• Misty Johnson, LCSW
• Natalie Grover Johnson, RN
• Paul E. Johnson, D.D.S.
• Sandra C Johnson, MD
• Timothy James Johnston, C.P.O.
• David L. Jolkovsky, D.M.D.,M.S.
• Dagon Hurricane Jones, D.D.S.
• Delbert Jones III, M.S.
• Destin Lynn Jones

• Mental Health Counselor in Davis, CA
• Providers in Davis, 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 Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.