Active NPI
Laura C Johnston, LADC1, LMHC
- Mental Health Counselor
- Bridgewater, MA
National Provider Identifier
1164551750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8154
- Practice address
- 1133 Pleasant St Ste a
Bridgewater, MA 02324-2214 - Phone
- (508) 802-4199
- Fax
- (508) 321-9428
- NPI assigned
- Mar 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2366 | MA | |
| Mental Health Counselor | 101YM0800X | 8154 | MA | Primary |
Addresses
Primary practice location
1133 Pleasant St Ste a
Bridgewater, MA 02324-2214
Mailing address
PO Box 1248
Mansfield, MA 02048-5248
Phone (508) 802-4199
Other names 1
- Miss Laura C Haggis
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Sep 26, 2024 through Sep 26, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2366 | MA | MD | Addiction (Substance Use Disorder) Counselor |
| 8154 | MA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthy-Self Counseling, LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| George Svajian PH D and Associates Inc | Past | Accepting new patients |
Locations
1133 Pleasant St
#A
Bridgewater, MA 02324
Phone (508) 443-4041
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Bridgewater, MA
- NPI 1861919755
Addiction (Substance Use Disorder)
-
- Psychologist
- Raynham, MA
- NPI 1245454784
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584748800000",
"number": "1164551750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1248",
"city": "MANSFIELD",
"state": "MA",
"postal_code": "020485248",
"telephone_number": "508-802-4199",
"fax_number": "508-321-9428"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1133 PLEASANT ST STE A",
"city": "BRIDGEWATER",
"state": "MA",
"postal_code": "023242214",
"telephone_number": "508-802-4199",
"fax_number": "508-321-9428"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHNSTON",
"first_name": "LAURA",
"middle_name": "C",
"name_prefix": "Mrs.",
"credential": "LADC1, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-02",
"last_updated": "2020-03-21",
"certification_date": "2020-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "2366",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "8154",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAURA",
"last_name": "HAGGIS",
"middle_name": "C",
"prefix": "MISS",
"credential": "LCADC, LPC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Bridgewater, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.