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KRISTIE JOHNSON MFT
NPI 1912124686
Marriage & Family Therapist in Sacramento, CA

Active since April 20, 2007Opted out of Medicare · through Jan 1, 2028
2023 N ST STE 100, SACRAMENTO, CA 95811(916) 542-2464(949) 404-6919 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2024, Apr 2, 2020, May 20, 2019 and 1 more (4 updates tracked since 2019).

About Kristie Johnson Mft NPPES

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

KRISTIE JOHNSON MFT (NPI 1912124686) is an individual marriage & family therapist in Sacramento, California, licensed in California (84318) and active in the NPI registry since April 2007. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1912124686
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameKRISTIE JOHNSONCredential: MFT
Location Address2023 N ST STE 100Sacramento, CA 95811-4240
Mailing Address859 Washington St # 203Red Bluff, CA 96080-2704
Phone(916) 542-2464
Fax(949) 404-6919
Sole ProprietorYes
Enumeration DateApril 20, 2007
Last NPPES UpdateSeptember 16, 20244 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2024
✔ NPI 1912124686 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 · 84318
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.
2023 N ST STE 100, Sacramento, CA 95811
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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

Kristie Johnson Mft 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024
Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

DAVID BROOKS PHILLIPS LMFT
Marriage & Family Therapist
2023 N ST STE 100
SACRAMENTO, CA 95811
Sacramento County (916) 833-2283
IVONNE JUDITH MELGAR LCSW
Social Worker (Clinical)
2023 N ST STE 100
SACRAMENTO, CA 95811
Sacramento County (916) 668-0161

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 Kristie Johnson's NPI number?

The NPI number for Kristie Johnson is 1912124686. It was assigned to this individual provider in the NPPES registry on April 20, 2007.

Where is Kristie Johnson located?

Kristie Johnson practices at 2023 N St Ste 100, Sacramento, CA 95811. The listed phone number is (916) 542-2464.

What is Kristie Johnson's specialty?

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

Is Kristie Johnson enrolled in Medicare?

No. Kristie Johnson has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kristie Johnson was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.