MRS. SUSAN N JOHNSON (MFT) – Marriage & Family Therapist, NPI 1104844737

MRS. SUSAN N JOHNSON (MFT) is a healthcare provider. based in Granite bay, California. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials MFT. They hold a License No. MFC36678 (CA). The NPI Number for MRS. SUSAN N JOHNSON (MFT) is 1104844737

Main info

Female
Sole Proprietor
33 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SUSAN N JOHNSON (MFT)
NPI
1104844737
Phone
(530) 210-9349
Address
8850 AUBURN FOLSOM RD
Enumeration Date
18 July 2006
Last Update Date
13 February 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9165318359
Graduation Year
1993 (33 years ago)
PAC ID
7214380278
Group Practice PAC ID
5799012266
Professional Enrollment ID
I20240126000897
Address ID
CA956100392CI8421XBLVD301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,984 MARRIAGE AND FAMILY THERAPIST in CA

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Provider Addresses for MRS. SUSAN N JOHNSON (MFT)

  • Music Lab - Granite Bay, 8745, Auburn Folsom Road, Placer County, California, 95746, United States

    SUITE A

    GRANITE BAY, CA 957466525

    Phone: (530) 210-9349

    Fax: (916) 772-8527

    Type: Location

  • Leafwood Way, Pinebrook Village, Represa, Folsom, Sacramento County, California, 95671, United States

    FOLSOM, CA 956301608

    Phone: (530) 210-9349

    Fax: (916) 772-8527

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240126000897IMarriage And Family TherapistCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95746)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799012266View full group profile
NameSpecialtyState
Mental Health CounselorCA
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Mental Health CounselorCA
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Clinical Social WorkerCA
Marriage And Family TherapistCA

Reviews

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Frequently asked questions

How do I look up MRS. SUSAN N JOHNSON (MFT) by NPI?
Use NPI 1104844737 when you need to reference MRS. SUSAN N JOHNSON (MFT) in forms, claims, or directories.
Is MRS. SUSAN N JOHNSON (MFT)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is MRS. SUSAN N JOHNSON (MFT)?
The page reflects Marriage & Family Therapist for MRS. SUSAN N JOHNSON (MFT). Clinical services aligned with this taxonomy classification.
What location shows for MRS. SUSAN N JOHNSON (MFT)?
We surface Granite Bay, California for MRS. SUSAN N JOHNSON (MFT) based on available NPPES addresses.
How can I contact MRS. SUSAN N JOHNSON (MFT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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