John Joseph Johnson, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

T1009 Issued in OR

Practice address

107 E Main St Ste 29
Medford, OR 97501

Phone

(541) 201-2692

NPI assigned

Jan 5, 2011

Last updated

Nov 16, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1294185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542326400000",
    "number": "1891099842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 NORTHWOOD ST APT 12",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975046548",
            "telephone_number": "541-201-2692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 E MAIN ST STE 29",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "97501",
            "telephone_number": "541-201-2692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 E Main St",
            "address_purpose": "LOCATION",
            "city": "Medford",
            "state": "OR",
            "postal_code": "975047136",
            "country_code": "US",
            "telephone_number": "541-779-2393",
            "fax_number": "541-779-3317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-05",
        "last_updated": "2018-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T1009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500698279",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas Johnson, SLP
• James Keith Johnson, DMD
• Jared Dennis Johnson, DNP, APRN, ACNP-BC
• Jenna Grace Johnson
• Jessica Ione Johnson
• Joni Johnson, BSN, RN
• Malia Johnson, DNP, FNP
• Matthew Johnson, M.S.
• Matthew Allen Johnson, PHARMD
• Olivia Johnson, LMT

• Marriage & Family Therapist in Medford, OR
• Providers in Medford, OR by specialty
• Marriage & Family Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.