Johanne Alexandra Preciado

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 45443 Issued in CA

Practice address

221 N Ardmore Ave
Los Angeles, CA 90004-4503

Phone

(213) 381-3626

Fax

(213) 380-8923

NPI assigned

Mar 9, 2007

Last updated

Jun 23, 2023By 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 2

Addresses

Other names 1

• Johanne Alexandra Chavez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Didi Hirsch Psychiatric Service

  • Community/Behavioral Health Agency
  • Los Angeles, CA
  • NPI 1295866283
  NPD

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1780716332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 SEPULVEDA BLVD",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902304820",
            "telephone_number": "310-390-6612",
            "fax_number": "310-398-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N ARDMORE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900044503",
            "telephone_number": "213-381-3626",
            "fax_number": "213-380-8923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRECIADO",
        "first_name": "JOHANNE",
        "middle_name": "ALEXANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "2148",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 45443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHANNE",
            "last_name": "CHAVEZ",
            "middle_name": "ALEXANDRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Claudia Patricia Preciado
• Genesis Preciado
• Gustavo Lucas Preciado
• Heather Preciado
• Izri Preciado
• Juan Preciado
• Maria G Preciado, CHIROPRACTOR
• Martha Rose Preciado, M.D.
• Richard Preciado, PA-C
• Ruben Preciado

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, 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 Jun 23, 2023; 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.