Mari Johnson, MA
Individual provider Active NPI Mental Health Counselor · Rancho Dominguez, CA
NPI 1508901885 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508901885
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 1055 W Victoria St
Rancho Dominguez, CA 90220-5804 - Phone
- (310) 868-5379
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Star View CFS (Teammates) | Past | Accepting new patients | |
| Star View Community Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
1055 W Victoria St
Rancho Dominguez, CA 90220-5804
Mailing address
1085 W. Victoria Street
Rancho Dominguez, CA 90220
Phone (310) 868-5379
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YM0800X | Other | CA | COUNSELOR - MENTAL HEALTH |
Other providers in Rancho Dominguez, CA
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- Rasam Hajiannasab
- Nicholas Max Harding-Jackson
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- Todd Howard
- Maria M Koepsel
- Sanja Krajisnik
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- Jennifer F O'Dell
- Steven Jeffrey Ohsie
All providers in Rancho Dominguez, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.