Individual provider Active NPI

Maria Luisa Borja Johnston, M.S. COUNSELING, MFT

  • Marriage & Family Therapist
  • Rocklin, CA
National Provider Identifier
1760491146
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
49718 Issued in CA
Practice address
3101 Sunset Blvd
Suite B6
Rocklin, CA 95677-3095
Phone
(916) 606-4983
Fax
(916) 735-8742
NPI assigned
Aug 5, 2006
Last updated
Apr 10, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 49718 CA Primary

Addresses

Primary practice location

3101 Sunset Blvd
Suite B6
Rocklin, CA 95677-3095

Mailing address

3101 Sunset Blvd
Suite B6
Rocklin, CA 95677-3095
Phone (916) 606-4983

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
Master of Science

State licenses

LicenseStateTypeSpecialty
49718CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1760491146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3101 SUNSET BLVD",
            "address_2": "SUITE B6",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773095",
            "telephone_number": "916-606-4983",
            "fax_number": "916-735-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 SUNSET BLVD",
            "address_2": "SUITE B6",
            "city": "ROCKLIN",
            "state": "CA",
            "postal_code": "956773095",
            "telephone_number": "916-606-4983",
            "fax_number": "916-735-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "MARIA LUISA",
        "middle_name": "BORJA",
        "name_prefix": "Mrs.",
        "credential": "M.S. COUNSELING, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "49718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocklin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.