Active NPI
Maureen Rose Johnston, MA., MFT
- Marriage & Family Therapist
- San Jose, CA
National Provider Identifier
1639381544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 31776
- Practice address
- 1101 S. Winchester Blvd
A-101
San Jose, CA 95128 - Phone
- (408) 871-9180
- Fax
- (408) 248-2271
- NPI assigned
- May 4, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 31776 | CA | Primary |
Addresses
Primary practice location
1101 S. Winchester Blvd
A-101
San Jose, CA 95128
Mailing address
116 Calle El Padre
Los Gatos, CA 95032
Phone (408) 871-9180
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 31776 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1639381544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 CALLE EL PADRE",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "95032",
"telephone_number": "408-871-9180",
"fax_number": "408-248-2271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 S. WINCHESTER BLVD",
"address_2": "A-101",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "95128",
"telephone_number": "408-871-9180",
"fax_number": "408-248-2271"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "MAUREEN",
"middle_name": "ROSE",
"credential": "MA., MFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 31776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
- Vivian D. Brown Johnson, M.A., LMFT# 151679
- Adriana Mercedes Johnston, MA, APCC
- Judy Johnston
- Kristine Evelyn Johnston, DO
- Laura Johnston, MA, AMFT
- Hiroko Mori Johnstone, D.C.
- Joint & Airway Analytics (Advanced Dentistry by Design)
- Elizabeth Jolivet
- Jolly P. Shah Dental Corporation (Aarisha Dental Office)
- Jolly Shah, DDS, Dental Corporation
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.