Travis Johnson LMFT P.C.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4101006640 Issued in MI

Legal business name

TRAVIS JOHNSON LMFT P.C.

Practice address

1422 W Saginaw St
East Lansing, MI 48823-2434

Phone

(315) 313-5979

NPI assigned

Jun 22, 2018

Organization subpart

No

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

Authorized official

Name

Travis Johnson, LMFTNPI 1902295975

Title

Owner

Phone

(315) 313-5979

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Travis Johnson, PHD, LMFT

  • Marriage & Family Therapist
  • Los Angeles, CA
  • NPI 1902295975
  NPD Authorized official

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

{
    "created_epoch": "1529625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529625600000",
    "number": "1811482847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9650 GRAND RIVER AVE UNIT 4206",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482044014",
            "telephone_number": "315-313-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1422 W SAGINAW ST",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488232434",
            "telephone_number": "315-313-5979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAVIS JOHNSON LMFT P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-22",
        "last_updated": "2018-06-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TRAVIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-313-5979",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justine Anh Quy Tran-Serrano, DO
• Briana Tran
• Quincy Tran, DO
• Daniel Kent Tranberg, PH.D., LICENSED PSYC
• Transforming Together Therapy Services LLC
• Diane Beth Trebilcock, PHD
• Clare Sofia Treece
• Trilogy Healthcare of Clinton, LLC (The Willows at East Lansing)
• Mark Joseph Troisi
• Tammy Lynn Trott, MT, DOM, LIC. ACUP

• Marriage & Family Therapist in East Lansing, MI
• Providers in East Lansing, MI by specialty
• Marriage & Family Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2018; 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.