Individual provider Active NPI

Milana Johnson

  • Marriage & Family Therapist
  • Rancho Cucamonga, CA
National Provider Identifier
1639595689
Registry record updated Jan 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
145594 Issued in CA
Practice address
10832 Laurel St Ste 102
Rancho Cucamonga, CA 91730-7688
Phone
(909) 987-1997
Fax
(909) 987-0993
NPI assigned
Mar 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2025

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 145594 CA Primary

Addresses

Primary practice location

10832 Laurel St Ste 102
Rancho Cucamonga, CA 91730-7688

Mailing address

10832 Laurel St Ste 102
Rancho Cucamonga, CA 91730-7688
Phone (909) 987-1997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Foothills Psychological Services, Inc. CurrentSince Jan 1, 2025 Accepting new patients

Locations

1550 N Park Ave
Pomona, CA 91768
Phone (909) 623-0791

10832 Laurel St
Ste 102
Rancho Cucamonga, CA 91730
Phone (909) 987-1997

954 W Foothill Blvd
Ste A
Upland, CA 91786
Phone (909) 946-4222

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735862400000",
    "number": "1639595689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10832 LAUREL ST STE 102",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307688",
            "telephone_number": "909-987-1997",
            "fax_number": "909-987-0993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10832 LAUREL ST STE 102",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917307688",
            "telephone_number": "909-987-1997",
            "fax_number": "909-987-0993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MILANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-14",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "145594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

Verify at the official NPI Registry.