Individual provider Active NPI

Justin Johansen, LMFT

  • Marriage & Family Therapist
  • Plantation, FL
National Provider Identifier
1932628393
Registry record updated Apr 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT3379 Issued in FL
Practice address
7520 NW 5TH St Ste 203
Plantation, FL 33317-1613
Phone
(754) 837-1804
Fax
(866) 272-2040
NPI assigned
Sep 15, 2017
Last updated
Apr 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT3379 FL Primary

Addresses

Primary practice location

7520 NW 5TH St Ste 203
Plantation, FL 33317-1613

Mailing address

3060 El Camino Real
West Palm Beach, FL 33409-7827
Phone (754) 971-2691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20250920000678 FL Practitioner - Marriage and Family Therapist 4789188863 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7520 NW 5TH St
Suite 203
Plantation, FL 33317-1613
Phone (754) 837-1804

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MT3379FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Broward Therapists, PLLC Marriage & Family Therapist CurrentSince Aug 12, 2025 Accepting new patients
Florida Relationship Institute, LLC Marriage & Family Therapist PastSince Apr 13, 2025 Accepting new patients

Locations

7520 NW 5th St
Ste 203
Plantation, FL 33317
Phone (754) 837-1804

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744416000000",
    "number": "1932628393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 EL CAMINO REAL",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334097827",
            "telephone_number": "754-971-2691",
            "fax_number": "866-272-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7520 NW 5TH ST STE 203",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171613",
            "telephone_number": "754-837-1804",
            "fax_number": "866-272-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHANSEN",
        "first_name": "JUSTIN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-15",
        "last_updated": "2025-04-12",
        "certification_date": "2025-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.