Tristen Johnson, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

102274-01

Practice address

792 N Main St
Syracuse, NY 13212-1644

Phone

(315) 299-6975

NPI assigned

Sep 4, 2019

Last updated

Sep 4, 2019By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1567555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1740838655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5463 ORANGEPORT RD UNIT 204",
            "city": "BREWERTON",
            "state": "NY",
            "postal_code": "130291801",
            "telephone_number": "608-449-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "792 N MAIN ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132121644",
            "telephone_number": "315-299-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TRISTEN",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-04",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": "102274-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lewis W Johnson, MD
• Matthew B Johnson, B.S.
• Mika Latoy Johnson, LPN
• Shaliima Johnson
• Stephanie Marie Johnson, PT
• Belinda L Johnston, LPN
• Sarah C Johnston, LMT
• Tareya Rachell Johnston, L.P.N
• Erin E Johnstone
• Bethany Joncas

• Marriage & Family Therapist in Syracuse, NY
• Providers in Syracuse, 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 Sep 4, 2019; 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.