JESHANA JOHNSON
NPI 1003387408
Marriage & Family Therapist in Redondo Beach, CA
About Jeshana Johnson NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESHANA JOHNSON (NPI 1003387408) is an individual marriage & family therapist in Redondo Beach, California, licensed in California (154083) and active in the NPI registry since December 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeshana Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jeshana Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Jose, CA 95113
- Reassigned Medicare billing, California enrollment
- 3,139 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jeshana Johnson's NPI number?
The NPI number for Jeshana Johnson is 1003387408. It was assigned to this individual provider in the NPPES registry on December 10, 2018.
Where is Jeshana Johnson located?
Jeshana Johnson practices at 404 N Broadway Apt 1, Redondo Beach, CA 90277. The listed phone number is (424) 226-6172.
What is Jeshana Johnson's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Jeshana Johnson enrolled in Medicare?
Yes. Jeshana Johnson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jeshana Johnson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeshana Johnson reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeshana Johnson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jeshana Johnson was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jeshana Johnson · NPI 1003387408
Marriage & Family Therapist provider in Redondo Beach, California. Individual provider, active in the CMS NPPES registry since December 10, 2018.
## Identity
- **NPI:** 1003387408 (Entity type: Individual)
- **Enumerated:** December 10, 2018
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 154083 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 404 N BROADWAY APT 1, Redondo Beach, CA 90277-2805
- **Phone:** (424) 226-6172
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Grow Healthcare Group PC (NPI 1154994846, San Jose, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1003387408) · Data from the CMS NPPES public registry.