Trisha Johnson

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

12196A Issued in NC

Practice address

200 Doctors Dr Ste M
Jacksonville, NC 28546-6308

Phone

(760) 453-9657

NPI assigned

Nov 22, 2019

Sex

Female

Sole proprietor

Yes

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

State licenses

Practice roles

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.

• Moments Matter Therapy PLLC

  • Marriage & Family Therapist
  • Jacksonville, NC
  • NPI 1629702378
  NPD Authorized official

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1972149185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SKYE CT",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285468900",
            "telephone_number": "760-453-9657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 DOCTORS DR STE M",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466308",
            "telephone_number": "760-453-9657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "TRISHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "12196A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Johnson
• Janet Johnson, MD
• Lauren Johnson, CNM, WHNP-BC, RN
• Paula Johnson
• Traci Lynn Johnson, COTA/L
• Twila Johnson, LCSW
• Johnson'S Home Care LLC
• Johnston Pain Management PA
• Carol Ann Johnston, MD
• Heather Martina Johnston

• Marriage & Family Therapist in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2019; 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.