JESHANA JOHNSON
NPI 1003387408
Marriage & Family Therapist in Redondo Beach, CA

Active since December 10, 2018PECOS Enrolled
404 N BROADWAY APT 1, REDONDO BEACH, CA 90277(424) 226-6172 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2019, Dec 10, 2018 (2 updates tracked since 2018).

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

NPI1003387408
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameJESHANA JOHNSON
Location Address404 N BROADWAY APT 1Redondo Beach, CA 90277-2805
Mailing Address7426 Cherry Ave Ste 210Fontana, CA 92336-4263 · (909) 294-7240
Sole ProprietorNo
Enumeration DateDecember 10, 2018
Last NPPES UpdateApril 17, 20252 updates tracked since enumeration
NPPES CertifiedApril 17, 2025
NPI 1003387408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 154083
Definition
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.
Also ListedBehavior TechnicianTaxonomy 106S00000X
404 N BROADWAY APT 1, Redondo Beach, CA 90277

Secondary Practice Locations 2

Location 14950 San Bernardino St Ste 101Montclair, CA 91763-2328 · Phone (800) 749-1965
Location 21556 S Sultana AveOntario, CA 91761-4238 · Phone (909) 418-6923 · Fax (909) 418-6937

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jeshana Johnson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

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 15 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.