Heather Johnson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

C6468 Issued in OR

Practice address

2440 Willamette St Ste 201
Eugene, OR 97405-3170

Phone

(541) 321-2278

Fax

(541) 246-8826

NPI assigned

Aug 12, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Heather Mortimore Former name

Medicare fee-for-service enrollment

Enrolled in OR

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arise Counseling Service LLCGroup PAC ID 5496104473, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Arise Counseling Service, LLC. Dba Northlight Counseling

  • Clinical Social Worker
  • Eugene, OR
  • NPI 1447715834

  Professional

  Medicare reassignment Care Compare group NPD
• South Lane Mental Health Services, Inc

  • Community/Behavioral Health Agency
  • Cottage Grove, OR
  • NPI 1306905831

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637366400000",
    "number": "1487020608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 WILLAMETTE ST STE 201",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053170",
            "telephone_number": "541-321-2278",
            "fax_number": "541-246-8826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 WILLAMETTE ST STE 201",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974053170",
            "telephone_number": "541-321-2278",
            "fax_number": "541-246-8826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HEATHER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-12",
        "last_updated": "2021-11-20",
        "certification_date": "2021-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "OR",
            "license": "C6468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "MORTIMORE",
            "credential": "M.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Elizabeth Ann Johnson
• Elizabeth Rose Johnson
• Emily Johnson, M. ED., LMFT
• Gail Margaret Johnson, EPRDH
• Hanna Mousley Johnson
• Heather Johnson, LMT
• Jacqueline Johnson
• James Allen Johnson, M.D.
• Janice A. Johnson, MS, CCC-SLP
• Jennifer Nicole Johnson

• Professional Counselor in Eugene, OR
• Providers in Eugene, OR by specialty
• Professional Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.