Active NPI
Marshall Johnson, B.A., M.A., LMFTA
- Family Psychologist
- Tacoma, WA
National Provider Identifier
1720395148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Psychologist
- License
- MG 60266018
- Practice address
- 1305 Tacoma Ave S
#305
Tacoma, WA 98402-1903 - Phone
- (253) 759-5141
- NPI assigned
- Sep 7, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | MG 60266018 | WA | Primary |
Addresses
Primary practice location
1305 Tacoma Ave S
#305
Tacoma, WA 98402-1903
Mailing address
1305 Tacoma Ave S
#305
Tacoma, WA 98402-1903
Phone (253) 759-5141
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
- Credentials
- Bachelor of Arts, Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MG 60266018 | WA | MD | Family Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343347200000",
"number": "1720395148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1305 TACOMA AVE S",
"address_2": "#305",
"city": "TACOMA",
"state": "WA",
"postal_code": "984021903",
"telephone_number": "253-759-5141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1305 TACOMA AVE S",
"address_2": "#305",
"city": "TACOMA",
"state": "WA",
"postal_code": "984021903",
"telephone_number": "253-759-5141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "MARSHALL",
"name_prefix": "Mr.",
"credential": "B.A., M.A., LMFTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-09-07",
"last_updated": "2012-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "WA",
"license": "MG 60266018",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.