Active NPI
Danielle Kristen Johnson
- Marriage & Family Therapist
- Temecula, CA
National Provider Identifier
1679762272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 44524
- Practice address
- 27720 Jefferson Ave
Suite 110
Temecula, CA 92590-2610 - Phone
- (951) 506-0864
- NPI assigned
- Oct 18, 2007
- Sex
- Female
- Sole proprietor
- No
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 44524 | CA | Primary |
Addresses
Primary practice location
27720 Jefferson Ave
Suite 110
Temecula, CA 92590-2610
Mailing address
3576 Arlington Ave
Ste. 106
Riverside, CA 92506-3943
Phone (951) 345-9293
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 44524 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192665600000",
"number": "1679762272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3576 ARLINGTON AVE",
"address_2": "STE. 106",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925063943",
"telephone_number": "951-345-9293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27720 JEFFERSON AVE",
"address_2": "SUITE 110",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925902610",
"telephone_number": "951-506-0864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "DANIELLE",
"middle_name": "KRISTEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-18",
"last_updated": "2007-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 44524",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 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.