MEDICARE: DR. SHEMENA JOHNSON PSYCHOTHERAPY, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1174465322
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. SHEMENA JOHNSON PSYCHOTHERAPY, INC.

Provider Business Mailing Address
First Line	:	6404 WILSHIRE BLVD STE 870
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5531
Country	:	US
Telephone Number	:	323-680-8162
Fax Number	:

Provider Business Practice Location Address
First Line	:	6404 WILSHIRE BLVD STE 870
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90048-5531
Country	:	US
Telephone Number	:	323-680-8162
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SHEMENA JOHNSON
Credential	:	PSYD, LMFT
Telephone Number	:	323-680-8162

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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