Tiya Johnson, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

18506 Issued in CA

Practice address

1400 E Cooley Dr # 200a
Colton, CA 92324-3939

Phone

(909) 295-5295

NPI assigned

Feb 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Undefined Non-Physician Type (Specify)

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• Family Talk Therapy Center

  • Marriage & Family Therapist
  • Riverside, CA
  • NPI 1174089411

  Professional

  Medicare reassignment NPD
• All of God'S Children'S Group Home

  • Case Manager/Care Coordinator
  • Moreno Valley, CA
  • NPI 1477208700
  NPD
• Hope Avenue Marriage and Family Therapy Inc.

  • Community/Behavioral Health Agency
  • Colton, CA
  • NPI 1235763574
  NPD (past)

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

{
    "created_epoch": "1644883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1881349181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741129",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921741129",
            "telephone_number": "619-718-0362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E COOLEY DR # 200A",
            "city": "COLTON",
            "state": "CA",
            "postal_code": "923243939",
            "telephone_number": "909-295-5295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TIYA",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-15",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "18506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "agcclericals@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Mental Health Clinic",
            "address_1": "28108 Belfry Cir",
            "city": "Moreno Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925555414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kyneth Johnson
• Michelle Renae Johnson
• Octavia S Johnson
• Sabrina Carol Johnson
• Shavon S W Johnson, MPH, CLE, CLD
• Zanathan Johnson
• Brandon Scott Romo Johnston, MD
• Raofa Musa Joma
• Deandre Jones-Brooks
• Alexandra Jones

• Professional Counselor in Colton, CA
• Providers in Colton, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.