THERESA CARLA NEGRIDO JOHNSON PMHNP
NPI 1255600581
Nurse Practitioner - Psychiatric/Mental Health in Santa Rosa, CA

Q: What is Theresa Carla Johnson's NPI number?

The NPI number for Theresa Carla Johnson is 1255600581. It was assigned to this individual provider in the NPPES registry on December 15, 2011. The provider is also known as Theresa Carla Belarmino Negrido Cns.

Q: What is Theresa Carla Johnson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since December 15, 2011PECOS EnrolledAccepts Medicare Assignment

480 TESCONI CIR STE B, SANTA ROSA, CA 95401(707) 206-7268 Get Directions Write a Review

NPPES record last updated: July 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 8, 2022, Jan 21, 2022, May 7, 2018 and 1 more (4 updates tracked since 2017).

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About Theresa Carla Negrido Johnson Pmhnp NPPES

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

THERESA CARLA NEGRIDO JOHNSON PMHNP (NPI 1255600581) is an individual psychiatric/mental health provider in Santa Rosa, California, licensed in California (95004522) and active in the NPI registry since December 2011. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1255600581

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameTHERESA CARLA NEGRIDO JOHNSONCredential: PMHNP

Location Address480 TESCONI CIR STE BSanta Rosa, CA 95401-4691

Mailing Address71 Blanca DrNovato, CA 94947-3729 · (818) 445-5414

Phone(707) 206-7268

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateDecember 15, 2011

Last NPPES UpdateJuly 16, 20254 updates tracked since enumeration

NPPES CertifiedJuly 16, 2025

✔ NPI 1255600581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95004522

Also ListedRegistered Nurse · NeuroscienceTaxonomy 163WN0800X · License 685968 (FL)

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 95004522 (CA)

Also ListedClinical Nurse Specialist · Critical Care MedicineTaxonomy 364SC0200X · License 3636 (CA)

480 TESCONI CIR STE B, Santa Rosa, CA 95401

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Other Names 1

Former Name (1)Theresa Carla Belarmino Negrido Cns

Secondary Practice Locations 2

Location 1400 Parnassus Ave Fl 2San Francisco, CA 94143-2202 · Phone (415) 353-2161 · Fax (415) 353-2505

Location 2501 Petaluma AveSebastopol, CA 95472-4215 · Phone (707) 823-8511 ext. 100

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Theresa Carla Negrido Johnson Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315202959

PECOS Enrollment IDI20180531000775

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

325 services58 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

220 services51 patients

Psychotherapy with evaluation and management visit, 45 minutes 90836

Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.

50 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$96.16 typical visit price

range $63.04 – $187.01

Typical copayment $24.04 (range $15.76 – $46.75)

Most-billed visit code 99203

Established Patient

$109.88 typical visit price

range $21.02 – $153.40

Typical copayment $27.47 (range $5.25 – $38.35)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MR. JOHN DAVID WILDGUST RN, MSN, PHN, PMHNP

Nurse Practitioner (Psychiatric/Mental Health)