JENNIFER ELY JOHNSON
NPI 1588708671
Marriage & Family Therapist in Ventura, CA

Q: What is Jennifer Johnson's NPI number?

The NPI number for Jennifer Johnson is 1588708671. It was assigned to this individual provider in the NPPES registry on February 20, 2007.

Q: What is Jennifer Johnson's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jennifer Johnson was last updated on February 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 February 20, 2007PECOS Enrolled

3160 TELEGRAPH RD STE 200, VENTURA, CA 93003(805) 642-4611(805) 585-3241 Get Directions Write a Review

NPPES record last updated: February 4, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Jennifer Ely Johnson NPPES

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

JENNIFER ELY JOHNSON (NPI 1588708671) is an individual marriage & family therapist in Ventura, California, licensed in California (MFC46055) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Glendale, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1588708671

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJENNIFER ELY JOHNSON

Location Address3160 TELEGRAPH RD STE 200Ventura, CA 93003-3250

Mailing Address318 N Adams St Apt 303Glendale, CA 91206-5082 · (818) 434-0900

Phone(805) 642-4611

Fax(805) 585-3241

Sole ProprietorYes

Medical School CMSOtherGraduated 2004

Enumeration DateFebruary 20, 2007

Last NPPES UpdateFebruary 4, 2026

NPPES CertifiedFebruary 4, 2026

✔ NPI 1588708671 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 · MFC46055

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.

3160 TELEGRAPH RD STE 200, Ventura, CA 93003

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Secondary Practice Location 1

Location 1318 N Adams St Apt 303Glendale, CA 91206-5082 · Phone (818) 434-0900

Other Identifiers 1

Medicaid100482068CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID5193168896

PECOS Enrollment IDI20260311003829

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.

Medicare Billing Reassignment

Medicare enrollment records show Jennifer Johnson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Beachside Adult And Family Therapy Inc

Same address

Mental Health

3160 TELEGRAPH RD STE 200
Ventura, CA 93003

Reassigned Medicare billing, California enrollment
14 clinicians in this Medicare group

NPI 1992018469 (805) 642-4611

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 18

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

JANELLE KREPS M.S. MFT

Marriage & Family Therapist