Organization Active NPI

Emma Johnson Heart and Mind Therapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Modesto, CA
National Provider Identifier
1093688590
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EMMA JOHNSON HEART AND MIND THERAPY
Practice address
3508 Dale Rd Ste B
Modesto, CA 95356-0794
Phone
(209) 799-7168
NPI assigned
Sep 29, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Authorized official

Name
Mrs. Emma Johnson, LPCCNPI 1144978412
Title
Therapist
Phone
(209) 799-7168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

3508 Dale Rd Ste B
Modesto, CA 95356-0794

Mailing address

3508 Dale Rd Ste B
Modesto, CA 95356-0794
Phone (209) 799-7168

National Provider Directory

National Provider Directory

Locations

3508 Dale Rd
Ste B
Modesto, CA 95356
Phone (209) 721-6630

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759104000000",
    "number": "1093688590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 DALE RD STE B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953560794",
            "telephone_number": "209-799-7168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 DALE RD STE B",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953560794",
            "telephone_number": "209-799-7168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMMA JOHNSON HEART AND MIND THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "EMMA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "209-799-7168",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.