Latasha Johnson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

P104838 Issued in NY

Practice address

41 W Merrick Rd Suite 2
Valley Stream, NY 11580

Phone

(516) 459-2920

NPI assigned

Jan 17, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1642377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1679224117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18825 MANGIN AVE",
            "city": "SAINT ALBANS",
            "state": "NY",
            "postal_code": "114122317",
            "telephone_number": "718-290-7683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 W MERRICK RD SUITE 2",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "11580",
            "telephone_number": "516-459-2920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "LATASHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-17",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "P104838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://thenewhopemhcs.com",
            "affiliation": "N",
            "endpointDescription": "Mental health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Mental health information",
            "address_1": "41 W Merrick RD Suite 2",
            "city": "Valley Stream",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Charmaine S Johnson, D.O
• Cynthia Eileen Johnson
• Diane Natasha Johnson, OTR/L
• Emma Christine Johnson
• Kippy Johnson
• Maria G Johnson, LCSW
• Shaun Johnson
• Tania Jones-Michael, LMSW
• Brenda Jones
• Diamond Jones, MSW

• Marriage & Family Therapist in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Marriage & Family Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.