Mirna Johnson, B.S. (LMFT)

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LMFT124973 Issued in CA

Practice address

141 N Arrowhead Ave Ste 5
San Bernardino, CA 92408-1016

Phone

(909) 361-1546

Fax

(909) 361-1546

NPI assigned

Sep 12, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science

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.

• Sud Specialty Group - Ca

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Santa Clara, CA
  • NPI 1972138238

  Marriage & Family Therapist

  Medicare reassignment NPD
• Inland Empire Counseling

  • Marriage & Family Therapist
  • San Bernardino, CA
  • NPI 1841980489
  NPD Authorized official

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

{
    "created_epoch": "1410480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1699176305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N ARROWHEAD AVE STE 5",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924081016",
            "telephone_number": "909-361-1546",
            "fax_number": "909-361-1546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N ARROWHEAD AVE STE 5",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924081016",
            "telephone_number": "909-361-1546",
            "fax_number": "909-361-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "MIRNA",
        "credential": "B.S. (LMFT)",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-12",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT124973",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF91851",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylan Johnson
• Laneisha Dewayna Johnson, LVN
• Lorina Johnson
• Lynn Charlinda Johnson, LMFT
• Martin Allen Johnson, LCSW
• Nicole Cheree Johnson, RN
• Robert Andrew Johnson, CATC
• Veronica Rochelle Johnson, LVN
• Christelle Larissa Johou Tchafa
• Idhika Jolly

• Marriage & Family Therapist in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.