Karmen N Fernandez Johnston

Individual provider Active NPI Marriage & Family Therapist · Agoura Hills, CA

NPI 1649923798 · NPPES record last updated Jan 29, 2022

Key facts

NPI
1649923798
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
129558 (CA)
Practice address
30300 Agoura Rd Ste 195
Agoura Hills, CA 91301-5412
Phone
(818) 532-7950
NPI assigned
Jan 29, 2022
Sex
Female
Sole proprietor
No

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
129558CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatric Wellness Center Inc Current
since Feb 6, 2022
Accepting new patients

Locations

30300 Agoura Rd
Ste 195
Agoura Hills, CA 91301
Phone (818) 532-7950

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 129558 CA Yes

Addresses

Primary practice location

30300 Agoura Rd Ste 195
Agoura Hills, CA 91301-5412

Mailing address

PO Box 7861
Ventura, CA 93006-7861

Other names

  • Karmen N Filegar Former name

Other providers in Agoura Hills, CA

All providers in Agoura Hills, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.