David W Johnson, MFC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

3097 Willow Ave Ste 4
Clovis, CA 93612-4715

Phone

(559) 707-9212

NPI assigned

Jul 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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": "1183334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1508063694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32197 MEADOW RIDGE RD",
            "city": "COARSEGOLD",
            "state": "CA",
            "postal_code": "936149559",
            "telephone_number": "559-642-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3097 WILLOW AVE STE 4",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936124715",
            "telephone_number": "559-707-9212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DAVID",
        "middle_name": "W",
        "credential": "MFC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-02",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC35499",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Sti.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3097 Willow Ave Ste 4",
            "city": "Clovis",
            "state": "CA",
            "country_code": "US",
            "postal_code": "936124715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• JM Healthcare Inc
• JM Residential Care Facility LLC
• Krinstin Debra Joe, PHARM.D
• Alexander B John Jr., CRNA
• Amy Ann Johnson, RBT
• Jane Marguerite Johnson, FNP
• Larry Johnson, PHARM.D
• Quincy Johnson
• Saroeun Joanna Johnston
• Laurel K Jolly, M.S.

• Marriage & Family Therapist in Clovis, CA
• Providers in Clovis, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.