Renae Johnson, LPCC, ATR-BC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

6018 Issued in CA

Practice address

2904 W Sunset Blvd Ste 6
Los Angeles, CA 90026-7308

Phone

(424) 283-1845

NPI assigned

Aug 21, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Open Space Psychotherapy Collective

  • Professional Counselor
  • Los Angeles, CA
  • NPI 1942933130
  NPD Authorized official
• Progress Foundation

  • Mental Illness Community Based Residential Treatment Facility
  • San Francisco, CA
  • NPI 1013071992
  NPD (past)

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663545600000",
    "number": "1679940936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2904 W SUNSET BLVD STE 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900267308",
            "telephone_number": "424-283-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2904 W SUNSET BLVD STE 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900267308",
            "telephone_number": "424-283-1845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "RENAE",
        "credential": "LPCC, ATR-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-21",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "6018",
            "primary": false
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "CA",
            "license": "16-199",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "6018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "renae@renaejohnsontherapy.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2904 W Sunset Blvd Ste 1",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900267308",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Perri Johnson, PH.D.
• Porscha A Johnson
• Rahsaana Johnson
• Ranelle Marie Johnson
• Raylene Johnson
• Rhea E Johnson, PHD LCSW
• Robert Johnson, DDS
• Robert Jeffrey Johnson, D.C.
• Rodney Dwayne Johnson, CAADE 12397-R
• Roger Duncan Johnson Jr., M.D.

• Mental Health Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.