Travis Johnson, PHD, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

4101006640 Issued in MI

Practice address

5019 Maplewood Ave Unit 104
Los Angeles, CA 90004-3596

Phone

(315) 313-5979

Fax

(315) 313-5979

NPI assigned

Jan 14, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

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.

• Travis Johnson LMFT P.C.

  • Marriage & Family Therapist
  • East Lansing, MI
  • NPI 1811482847
  NPD Authorized official

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

{
    "created_epoch": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694649600000",
    "number": "1902295975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5019 MAPLEWOOD AVE UNIT 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043596",
            "telephone_number": "315-313-5979",
            "fax_number": "315-313-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5019 MAPLEWOOD AVE UNIT 104",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900043596",
            "telephone_number": "315-313-5979",
            "fax_number": "315-313-5979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1749 Hamilton Rd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Okemos",
            "state": "MI",
            "postal_code": "488641941",
            "country_code": "US",
            "telephone_number": "315-313-5979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TRAVIS",
        "credential": "PHD, LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-14",
        "last_updated": "2023-09-14",
        "certification_date": "2023-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101006640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Todd Johnson
• Toni Celestine Johnson, RN
• Tracy Johnson, CRNA
• Tracy Johnson
• Traevonn Johnson, MA
• Travis Johnson
• Tyion Johnson
• Tyjae Johnson
• Unique Johnson
• Valeria M Johnson

• Marriage & Family Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.