Individual provider Active NPI

Sharon Lynne Johnson-Magar, LMFT

  • Mental Health Counselor
  • Marina del Rey, CA
National Provider Identifier
1861151599
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFT32782 Issued in CA
Practice address
4451 Glencoe Avenue
Suite 255
Marina del Rey, CA 90292
Phone
(310) 572-7000
NPI assigned
Dec 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFT32782 CA Primary

Addresses

Primary practice location

4451 Glencoe Avenue
Suite 255
Marina del Rey, CA 90292

Mailing address

13111 Lake St
Los Angeles, CA 90066-2204
Phone (707) 280-3342

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL sharon@lifeadjustmentteam.com Health Information Exchange (HIE)

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

LicenseStateTypeSpecialty
MFT32782CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lat Intensive Outpatient Programs Inc PastSince Jun 27, 2021 Accepting new patients
DW Management Enterprises Inc. PastSince Jun 27, 2021 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1861151599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13111 LAKE ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900662204",
            "telephone_number": "707-280-3342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4451 GLENCOE AVENUE",
            "address_2": "SUITE 255",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "90292",
            "telephone_number": "310-572-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON-MAGAR",
        "first_name": "SHARON",
        "middle_name": "LYNNE",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFT32782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sharon@lifeadjustmentteam.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4551 Glencoe Ave Ste 255",
            "city": "Marina Del Rey",
            "state": "CA",
            "country_code": "US",
            "postal_code": "902927924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marina del Rey, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; 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.