Zenda Nicole Johnson, AMFT

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

132682 Issued in CA

Practice address

136 Valdivia Cir
San Ramon, CA 94583-2228

Phone

(707) 290-5941

NPI assigned

Dec 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1607472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1467058917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 77TH AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946052813",
            "telephone_number": "510-988-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 VALDIVIA CIR",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945832228",
            "telephone_number": "707-290-5941"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3081 Teagarden St",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945775720",
            "country_code": "US",
            "telephone_number": "510-347-4620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "ZENDA",
        "middle_name": "NICOLE",
        "credential": "AMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-09",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": "132682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine S Johnson, MFT
• Mary Jo Johnson, LCSW
• Megan Johnson, PHD
• Susan B Johnson, NNP
• Terrill Christopher Johnson
• Stacey B Johnston, MSCPT
• Jayla A Jones
• Jerrel D Jones
• Sasha L Jones
• Saydie A Jones

• Student in an Organized Health Care Education/Training Program in San Ramon, CA
• Providers in San Ramon, CA by specialty
• Student in an Organized Health Care Education/Training Program in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2022; 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.