Individual provider Active NPI

Courtney Johnen, MS

  • Marriage & Family Therapist
  • Ventura, CA
National Provider Identifier
1609991249
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF 49782 Issued in CA
Practice address
5740 Ralston St
Suite 100
Ventura, CA 93003-6051
Phone
(805) 289-3100
Fax
(805) 289-1676
NPI assigned
Mar 20, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF 49782 CA Primary

Addresses

Primary practice location

5740 Ralston St
Suite 100
Ventura, CA 93003-6051

Mailing address

5740 Ralston St
Suite 100
Ventura, CA 93003-6051
Phone (805) 289-3100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMF 49782CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura PastSince Jun 1, 2023 Accepting new patients
County of Ventura Past Accepting new patients

Organizations & group practices 2

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": "1174348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609991249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5740 RALSTON ST",
            "address_2": "SUITE 100",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036051",
            "telephone_number": "805-289-3100",
            "fax_number": "805-289-1676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5740 RALSTON ST",
            "address_2": "SUITE 100",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036051",
            "telephone_number": "805-289-3100",
            "fax_number": "805-289-1676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNEN",
        "first_name": "COURTNEY",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 49782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.