Individual provider Active NPI

Johna Eatherton

  • Marriage & Family Therapist
  • Hemet, CA
National Provider Identifier
1932755170
Registry record updated Oct 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
153439 Issued in CA
Practice address
1011 E Devonshire Ave Ste 201
Hemet, CA 92543-3033
Phone
(909) 599-1227
NPI assigned
Aug 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 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 153439 CA Primary

Addresses

Primary practice location

1011 E Devonshire Ave Ste 201
Hemet, CA 92543-3033

Mailing address

1011 E Devonshire Ave Ste 201
Hemet, CA 92543-3033
Phone (909) 599-1227

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260304002339 CA Practitioner - Marriage and Family Therapist 7517449028 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

14500 Roscoe Blvd
Suite 400
Panorama City, CA 91402-4192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
153439CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Therapeutic Alliance, a Licensed Clinical Social Worker Co CurrentSince Feb 17, 2026 Accepting new patients

Locations

14500 Roscoe Blvd
Ste 400
Van Nuys, CA 91402
Phone (818) 741-2906

30700 Russell Ranch Rd
Ste 250
Westlake Village, CA 91362
Phone (800) 764-8981

Organizations & group practices 1

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": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760054400000",
    "number": "1932755170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 E DEVONSHIRE AVE STE 201",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433033",
            "telephone_number": "909-599-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 E DEVONSHIRE AVE STE 201",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433033",
            "telephone_number": "909-599-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EATHERTON",
        "first_name": "JOHNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2025-10-10",
        "certification_date": "2025-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "153439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

Verify at the official NPI Registry.