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MIRNA JOHNSON B.S. (LMFT)
NPI 1699176305
Marriage & Family Therapist in San Bernardino, CA

Active since September 12, 2014PECOS Enrolled
141 N ARROWHEAD AVE STE 5, SAN BERNARDINO, CA 92408(909) 361-1546(909) 361-1546 Get Directions Write a Review

NPPES record last updated: May 5, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mirna Johnson B.s. (lmft) NPPES

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

MIRNA JOHNSON B.S. (LMFT) (NPI 1699176305) is an individual marriage & family therapist in San Bernardino, California, licensed in California (LMFT124973) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699176305
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMIRNA JOHNSONCredential: B.S. (LMFT)
Location Address141 N ARROWHEAD AVE STE 5San Bernardino, CA 92408-1016
Mailing Address141 N Arrowhead Ave Ste 5San Bernardino, CA 92408-1016 · (909) 361-1546 · Fax (909) 361-1546
Phone(909) 361-1546
Fax(909) 361-1546
Sole ProprietorNo
Enumeration DateSeptember 12, 2014
Last NPPES UpdateMay 5, 2023
NPPES CertifiedMay 5, 2023
✔ NPI 1699176305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · LMFT124973
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X · License IMF91851 (CA)
141 N ARROWHEAD AVE STE 5, San Bernardino, CA 92408
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mirna Johnson B.s. (lmft) 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.

Medicare Billing Reassignment

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

Sud Specialty Group - Ca
348 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

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

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

INLAND EMPIRE COUNSELING
Marriage & Family Therapist
141 N ARROWHEAD AVE STE 5
SAN BERNARDINO, CA 92408
San Bernardino County (909) 361-1546

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 Mirna Johnson's NPI number?

The NPI number for Mirna Johnson is 1699176305. It was assigned to this individual provider in the NPPES registry on September 12, 2014.

Where is Mirna Johnson located?

Mirna Johnson practices at 141 N Arrowhead Ave Ste 5, San Bernardino, CA 92408. The listed phone number is (909) 361-1546.

What is Mirna Johnson's specialty?

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

Is Mirna Johnson enrolled in Medicare?

Yes. Mirna Johnson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mirna Johnson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mirna Johnson reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, 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 Mirna 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 Mirna Johnson was last updated on May 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.