=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508725060
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | KASHA M JOHNSON FAMILY THERAPY CORP
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/20/2026
-----------------------------------------------------
Last Update Date | 01/21/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 6902 SVL BOX
-----------------------------------------------------
City | SPRING VALLEY LAKE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92395-5172
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-930-4062
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 6902 SVL BOX
-----------------------------------------------------
City | SPRING VALLEY LAKE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92395-5172
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 310-930-4062
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | LMFT/OWNER
-----------------------------------------------------
Name | KASHA JOHNSON
-----------------------------------------------------
Credential | LMFT
-----------------------------------------------------
Telephone | 310-930-4062
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------