Individual provider Active NPI

Shanekka Nicole Brown-Johnson, LMFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1528629623
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT145841 Issued in CA
Practice address
5588 N Palm Ave
Fresno, CA 93704-1913
Phone
(860) 469-5439
NPI assigned
Jun 28, 2019
Last updated
Jan 21, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X AMFT110512 CA
Marriage & Family Therapist 106H00000X LMFT145841 CA Primary
Marriage & Family Therapist 106H00000X 5162-R NV
Marriage & Family Therapist 106H00000X 238586 AK
Community Health Worker 172V00000X AMFT110512 CA

Addresses

Primary practice location

5588 N Palm Ave
Fresno, CA 93704-1913

Mailing address

1985 Del Amo Blvd # P1431
Torrance, CA 90501-1304
Phone (860) 469-5439

Other practice location 1

2540 W Shaw Ln Ste 107
Fresno, CA 93711-2700
Phone (559) 256-7622

Other practice location 2

2772 S Martin L King Jr Blvd
Fresno, CA 93706-5345
Phone (559) 265-4800

Other practice location 3

412 F Street
Fresno, CA 93706-3308
Phone (559) 498-6988

Other identifiers 1

IdentifierTypeStateIssuer
CA743396MedicaidCA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240617003918 CA Practitioner - Marriage and Family Therapist 8426591504 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Dallas, TX 75373

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
238586AKMDMarriage & Family Therapist
LMFT145841CAMDMarriage & Family Therapist
5162-RNVMDMarriage & Family Therapist
AMFT110512CAMDCommunity Health Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Boundaries & More LLC Current Accepting new patients
Poverello House Marriage & Family Therapist CurrentSince Nov 1, 2024 Accepting new patients
Grow Healthcare Group PC Marriage & Family Therapist CurrentSince Feb 20, 2025 Accepting new patients
Mental Health Systems, Inc. CurrentSince Apr 20, 2024 Accepting new patients
Mental Health Systems, Inc. Current Accepting new patients
Brightside Medical, P.C. CurrentSince May 1, 2025 Accepting new patients
Mental Health Systems, Inc. CurrentSince Aug 1, 2023 Accepting new patients
Sud Specialty Group - Ca Marriage & Family Therapist CurrentSince Aug 1, 2025 Accepting new patients
Mental Health Systems, Inc. Past Accepting new patients
Westcare California Inc PastSince Nov 1, 2022 Accepting new patients
Kings View PastSince Nov 1, 2019 Accepting new patients

Locations

2549 W Shaw Ave
Fresno, CA 93711
Phone (559) 264-7521

2550 W Clinton Ave
Bldg W
Fresno, CA 93705
Phone (559) 264-7521

2550 W Clinton Ave
Bldg W397
Fresno, CA 93705
Phone (559) 264-7521

2550 W Clinton Ave
Ste B
Fresno, CA 93705
Phone (858) 251-2314

412 F St
Fresno, CA 93706
Phone (559) 498-6988

2029 Century Park E
Ste 400
Los Angeles, CA 90067
Phone (213) 463-6426

9465 Farnham St
San Diego, CA 92123
Phone (858) 576-4311

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

4633 Old Ironsides Dr
Ste 304
Santa Clara, CA 95054
Phone (323) 745-8323

5201 Great America Pkwy
Ste 320
Santa Clara, CA 95054
Phone (323) 968-6182

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1561680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1528629623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1985 DEL AMO BLVD # P1431",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905011304",
            "telephone_number": "860-469-5439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5588 N PALM AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937041913",
            "telephone_number": "860-469-5439"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2540 W Shaw Ln Ste 107",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937112700",
            "country_code": "US",
            "telephone_number": "559-256-7622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2772 S Martin L King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937065345",
            "country_code": "US",
            "telephone_number": "559-265-4800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "412 F Street",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937063308",
            "country_code": "US",
            "telephone_number": "559-498-6988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN-JOHNSON",
        "first_name": "SHANEKKA",
        "middle_name": "NICOLE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-28",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "AMFT110512",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT145841",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "5162-R",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AK",
            "license": "238586",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": "AMFT110512",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CA743396",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.