Heather L Johnston, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34004652A Issued in IN

Practice address

2420 N Coliseum Blvd
Suite 201
Fort Wayne, IN 46805-3139

Phone

(260) 498-8009

Fax

(260) 498-8009

NPI assigned

Mar 22, 2012

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heather L Johnston, LLC

  • Mental Health Counselor
  • Fort Wayne, IN
  • NPI 1871002121
  NPD (past) Authorized official
• Integrative Counseling Solutions LLC

  • Clinical Social Worker
  • Fort Wayne, IN
  • NPI 1699142844
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441065600000",
    "number": "1053687145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 N COLISEUM BLVD",
            "address_2": "SUITE 201",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468053139",
            "telephone_number": "260-498-8009",
            "fax_number": "260-498-8009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 N COLISEUM BLVD",
            "address_2": "SUITE 201",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468053139",
            "telephone_number": "260-498-8009",
            "fax_number": "260-498-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSTON",
        "first_name": "HEATHER",
        "middle_name": "L",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-22",
        "last_updated": "2015-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34004652A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Lynn Johnson, NP
• Tyler Guthrie Johnson, DO
• Brad M Johnston, M.D.
• Catherine A Johnston, LCSW ACSW
• Delynn Sue Johnston, RRT
• Julie Johnston
• Richard M Johnston II, MD
• Timothy Lee Johnston, BPHARM, RPH, PHARMD
• Alysha Joley, RBT
• Samantha Sue Joley

• Clinical Social Worker in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.