MRS. KASEY JOHNSON
NPI 1104615277
Marriage & Family Therapist in Santa Ana, CA

Q: What is Kasey Johnson's NPI number?

The NPI number for Kasey Johnson is 1104615277. It was assigned to this individual provider in the NPPES registry on May 5, 2025.

Q: What is Kasey Johnson's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Kasey Johnson enrolled in Medicare?

No. Kasey Johnson has opted out of Medicare through April 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kasey Johnson was last updated on May 5, 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.

Active since May 05, 2025Opted out of Medicare · through Apr 30, 2027

1633 E 4TH ST STE 120, SANTA ANA, CA 92701(714) 558-9266 Get Directions Write a Review

NPPES record last updated: May 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Kasey Johnson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. KASEY JOHNSON (NPI 1104615277) is an individual marriage & family therapist in Santa Ana, California, licensed in California (154929) and active in the NPI registry since May 2025. She has opted out of Medicare through April 30, 2027.

NPPES Registry Identity

NPI1104615277

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. KASEY JOHNSON

Location Address1633 E 4TH ST STE 120Santa Ana, CA 92701-5143

Mailing Address1633 E 4th St Ste 120Santa Ana, CA 92701-5143 · (714) 558-9266

Phone(714) 558-9266

Sole ProprietorNo

Enumeration DateMay 5, 2025

NPPES CertifiedMay 5, 2025

✔ NPI 1104615277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 154929

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.

1633 E 4TH ST STE 120, Santa Ana, CA 92701

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mrs. Kasey Johnson has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 30, 2025 through April 30, 2027.

Opt-Out Effective DateApril 30, 2025

Opt-Out In Effect ThroughApril 30, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMES MASTELLER

Marriage & Family Therapist