Active NPI
Isaac Andrew Johnson, LMFTA
- Marriage & Family Therapist
- Yakima, WA
National Provider Identifier
1821378431
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MG 60160644
- Practice address
- 1450 N 16TH Ave Ste 102
Yakima, WA 98902-1381 - Phone
- (509) 574-5000
- NPI assigned
- Aug 26, 2011
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MG 60160644 | WA | Primary |
Addresses
Primary practice location
1450 N 16TH Ave Ste 102
Yakima, WA 98902-1381
Mailing address
315 S 8TH Ave
Yakima, WA 98902-3512
Phone (509) 388-5118
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MG 60160644 | WA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314316800000",
"number": "1821378431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 S 8TH AVE",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989023512",
"telephone_number": "509-388-5118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 N 16TH AVE STE 102",
"city": "YAKIMA",
"state": "WA",
"postal_code": "989021381",
"telephone_number": "509-574-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSON",
"first_name": "ISAAC",
"middle_name": "ANDREW",
"name_prefix": "Mr.",
"credential": "LMFTA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-26",
"last_updated": "2011-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "WA",
"license": "MG 60160644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yakima, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.