Individual provider Active NPI

Laura C Johnston, LADC1, LMHC

  • Mental Health Counselor
  • Bridgewater, MA
National Provider Identifier
1164551750
Registry record updated Mar 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
8154 Issued in MA
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

Updated by the provider on Mar 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
2366MAMDAddiction (Substance Use Disorder) Counselor
8154MAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy-Self Counseling, LLC Addiction (Substance Use Disorder) CurrentSince Aug 6, 2019 Accepting new patients
George Svajian PH D and Associates Inc PastSince Jan 1, 2010 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.

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

Verify at the official NPI Registry.