Healthcare Provider Details

I. General information

NPI: 1033676952
Provider Name (Legal Business Name): DANI JOHNSON LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/27/2019
Last Update Date: 04/13/2026
Certification Date: 04/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 5TH ST
SAN FRANCISCO CA
94107-1536
US

IV. Provider business mailing address

422 VIDAL DR
SAN FRANCISCO CA
94132-2151
US

V. Phone/Fax

Practice location:
  • Phone: 415-558-4073
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number159204
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number123343
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: