JOHANNE ALEXANDRA PRECIADO - NPI 1780716332 - Marriage & Family Therapist in Los Angeles, CA

Q: What is Johanne Preciado's NPI number?

The NPI number for Johanne Preciado is 1780716332. It was assigned to this individual provider in the NPPES registry on March 9, 2007. The provider is also known as Johanne Alexandra Chavez.

Q: What is Johanne Preciado'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 Johanne Preciado was last updated on June 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Johanne Alexandra Preciado NPPES

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

JOHANNE ALEXANDRA PRECIADO (NPI 1780716332) is an individual marriage & family therapist in Los Angeles, California, licensed in California (MFC 45443) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780716332

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameJOHANNE ALEXANDRA PRECIADO

Location Address221 N ARDMORE AVELos Angeles, CA 90004-4503

Mailing Address4760 Sepulveda BlvdCulver City, CA 90230-4820 · (310) 390-6612 · Fax (310) 398-5690

Phone(213) 381-3626

Fax(213) 380-8923

Sole ProprietorNo

Enumeration DateMarch 9, 2007

Last NPPES UpdateJune 23, 20233 updates tracked since enumeration

NPPES CertifiedJune 23, 2023

✔ NPI 1780716332 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 · MFC 45443

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 · ProfessionalTaxonomy 101YP2500X · License 2148 (CA)

221 N ARDMORE AVE, Los Angeles, CA 90004

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Other Names 1

Former Name (1)Johanne Alexandra Chavez

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Johanne Alexandra Preciado 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.

Other Providers at the Same Location NPPES 8

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

DIDI HIRSCH PSYCHIATRIC SERVICE

Community/Behavioral Health