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Kasha M Johnson

Marriage & Family Therapist

Behavioral Health & Social Service Providers

6902 Svl Box, Spring Valley Lake, CA 92395-5172

PECOS Enrollment

This provider is enrolled in PECOS as KASHA JOHNSON.

Based on the most recent information from CMS, provider Kasha M Johnson is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1346931508
Provider Type
Individual
Full Name
Johnson, Kasha M
Credential
AMFT

Gender
Female
Sole Proprietor
No
Enumeration Date
5/18/2023
Last Updated
4/4/2025

Contact Information

Practice Location

6902 Svl Box, Spring Valley Lake, CA 92395-5172

(310) 930-4062

Unlisted Fax

Mailing Location

6902 Svl Box, Spring Valley Lake, CA 92395-5172

(310) 930-4062

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 154080 California

Kasha M Johnson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Mccain, Larissa

Redman, Tamesia Michele

Clark, Donna

Theno, Lori Rose

Harrell, Aamber

Stutson, Shirley Ann

Morgan, Maria E

Manus, Yuriyah

Licon, Joseph

Burtron, Sheryle