KELLY LYNN JOHNSON (NPI# 1548512403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548512403 |
| Entity Type | Individual |
| Full Name | KELLY LYNN JOHNSON |
| Practice Address |
12510 Van Nuys Blvd Ste 201 Pacoima CA 91331-6732 |
| Practice Telephone | 6263957100 |
| Mailing Telephone | 6263957100 |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023631249 | Kelly Lynn Johnson | Occupational Therapist | 22123 Figueroa St Unit 113, Carson, CA 90745-4464 | 2020-05-21 |
| 1851932404 | Kelly Christine Johnson | Nurse Practitioner | 7319 Stonerock Cir # 106, Orlando, FL 32819-8002 | 2019-10-04 |
| 1083274989 | Kelly Danielle Johnson | Registered Nurse | 76 Dubois Ct Apt D, Englewood, NJ 07631-3439 | 2019-06-13 |
| 1871151365 | Kelly Johnson | Family Medicine | 103 S White Oak Rd, White Oak, TX 75693-1517 | 2019-05-30 |
| 1194288753 | Kelly Mills Johnson | Psychologist | 100 Bush St Ste 918, San Francisco, CA 94104-3950 | 2019-04-10 |
| 1700345345 | Kelly Marlene Johnson | Nurse Practitioner | 1320 E Oklahoma Ave, Guthrie, OK 73044-3757 | 2019-03-13 |
| 1891253597 | Kelly Marie Johnson | Specialist/Technologist | 1472 Mobley Ct, Frederick, MD 21701-9113 | 2019-03-12 |
| 1447744347 | Kelly Theresa Johnson | Speech-Language Pathologist | 5272 River Rd Ste 100, Bethesda, MD 20816-1454 | 2018-06-14 |
| 1962902882 | Kelly M Johnson | Licensed Vocational Nurse | 118 Brazos Ln, Kyle, TX 78640-5289 | 2018-02-16 |
| 1427573476 | Kelly Colleen Johnson | Social Worker | 2530 Meridian Parkway, Suite 300, Pbn: 3071, Durham, NC 27713-2771 | 2017-08-11 |
| Street Address |
12510 VAN NUYS BLVD STE 201 |
| City | PACOIMA |
| State | CA |
| Zip Code | 91331-6732 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821129909 | Lin Min Kong | Marriage & Family Therapist | 12510 Van Nuys Blvd Ste 201, Pacoima, CA 91331-6732 | 2007-03-08 |
| 1114314259 | Alejandra Torres | Counselor | 12510 Van Nuys Blvd Ste 201, Pacoima, CA 91331-6732 | 2015-04-15 |
| 1902297369 | Nancy De La Torre | Social Worker | 12510 Van Nuys Blvd Ste 201, Pacoima, CA 91331-6732 | 2015-02-06 |
| 1386054575 | Hathaway-sycamores Child and Family Services | Community/Behavioral Health | 12510 Van Nuys Blvd Ste 201, Pacoima, CA 91331-6732 | 2014-04-28 |
| 1588911291 | Megan Stanley | Social Worker | 12510 Van Nuys Blvd Ste 201, Pacoima, CA 91331-6732 | 2012-08-13 |
| 1669743811 | Cristal Rojas | Marriage & Family Therapist | 12510 Van Nuys Blvd Ste 201, Pacoima, CA 91331-6732 | 2012-01-19 |
| 1891074324 | Nathalie Beltran | Rehabilitation Practitioner | 12510 Van Nuys Blvd Ste 201, Pacoima, CA 91331-6732 | 2011-08-15 |
| 1821376781 | Armida Rodriguez Gomez | Rehabilitation Practitioner | 12510 Van Nuys Blvd Ste 201, Pacoima, CA 91331-6732 | 2011-07-26 |
| 1386922243 | Melanie Johnson | Marriage & Family Therapist | 12510 Van Nuys Blvd Ste 201, Pacoima, CA 91331-6732 | 2011-07-26 |
| 1093006322 | Eleanor Isadora Owen | Social Worker | 12510 Van Nuys Blvd Ste 201, Pacoima, CA 91331-6732 | 2011-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992315956 | Kimberly Marie Tallas | Dental Assistant | 9745 Laurel Canyon, Pacoima, CA 91331 | 2020-08-05 |
| 1841822574 | Hathaway-sycamores Child and Family Services | Psychologist | 11505 Herrick Ave, Pacoima, CA 91331 | 2020-02-11 |
| 1649810995 | Amaris Care Inc | Home Health | 8953 Woodman Ave Ste 201, Arleta, CA 91331 | 2020-01-14 |
| 1801453758 | Hathaway Sycamores Child and Family Services | Psychologist | 13233 Eustace St., Pacoima, CA 91331 | 2019-05-28 |
| 1083189807 | Angelina Rosina Guzman | Student in an Organized Health Care Education/Training Program | 13459 Filmore St, 1/4, Pacoima, CA 91331 | 2018-10-08 |
| 1467972364 | Msa Pharmaceutical Services Corporation | Pharmacy | 9720 Woodman Ave, Arleta, CA 91331 | 2017-06-21 |
| 1508213588 | Yari Meita Fanusie | Counselor | 11643 Glenoaks Blvd., Pacoima, CA 91331 | 2016-05-19 |
| 1972992915 | Ray Ayala | Counselor | 16643 Glenoaks Bl., Pacoima, CA 91331 | 2015-01-14 |
| 1538569249 | Ludivina Gutierrez | Occupational Therapist | 14061 Terra Bella Street, Arleta, CA 91331 | 2014-08-29 |
| 1043646557 | Umoh-chidi Daniel | Physical Therapist | 12418 Gain St., Pacoima, CA 91331 | 2013-09-17 |
| Find all providers in zip 91331 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568908606 | Ivette Rochin Pelayo | Marriage & Family Therapist | 11226 Tamarack Ave, Pacoima, CA 91331-2734 | 2017-01-12 |
| 1457631939 | Julie Ilene Hey | Marriage & Family Therapist | 12510 Van Nuys Blvd Ste 210, Pacoima, CA 91331-1338 | 2011-08-28 |
| 1912107376 | Susan P. Diamond | Marriage & Family Therapist | 11643 Glenoaks Blvd, Pacoima, CA 91331-1050 | 2007-07-23 |
| 1972635290 | Ericka Yvette S. Germon | Marriage & Family Therapist | 11300 Glenoaks Blvd, Pacoima, CA 91331-1622 | 2007-03-12 |
| 1821129909 | Lin Min Kong | Marriage & Family Therapist | 12510 Van Nuys Blvd Ste 201, Pacoima, CA 91331-6732 | 2007-03-08 |
| 1275661159 | Alicia Susana Rufman-levine | Marriage & Family Therapist | 12501 Van Nuys Blvd, 2nd Floor, Pacoima, CA 91331-1355 | 2007-03-01 |
| 1649829474 | Shayna Alyse Carroll | Marriage & Family Therapist | 11643 Glenoaks Blvd, Pacoima, CA 91331-1050 | 2019-09-04 |
| 1003474636 | Angelica Marie Churchian | Marriage & Family Therapist | 11643 Glenoaks Blvd, Pacoima, CA 91331-1099 | 2019-05-29 |
| 1497213201 | Kristine Arakelian | Marriage & Family Therapist | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2019-03-11 |
| 1619435153 | Lindsey Lovier | Marriage & Family Therapist | 12450 Van Nuys Blvd Ste 200, Pacoima, CA 91331-1393 | 2019-03-04 |
| Find all providers in PACOIMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.