Individual provider Active NPI

Heather Lynn Johnson, LMFT

  • Marriage & Family Therapist
  • Thousand Oaks, CA
National Provider Identifier
1508984931
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT80841 Issued in CA
Practice address
125 W Thousand Oaks Blvd Ste 600
Thousand Oaks, CA 91360-4463
Phone
(805) 777-3505
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Marriage & Family Therapist 106H00000X LMFT80841 CA Primary

Addresses

Primary practice location

125 W Thousand Oaks Blvd Ste 600
Thousand Oaks, CA 91360-4463

Mailing address

125 W Thousand Oaks Blvd Ste 600
Thousand Oaks, CA 91360-4463

Other practice location 1

975 Flynn Rd
Camarillo, CA 93012-8704
Phone (805) 443-0721

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT80841CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Ventura CurrentSince Jun 4, 2023 Accepting new patients
County of Ventura Current Accepting new patients

Locations

1911 Williams Dr
Ste 200
Oxnard, CA 93036
Phone (805) 981-4221

125 W Thousand Oaks Blvd
Ste 600
Thousand Oaks, CA 91360
Phone (805) 777-3500

800 S Victoria Ave
#L4640
Ventura, CA 93009

300 Hillmont Ave
Ventura, CA 93003
Phone (805) 652-6000

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1508984931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W THOUSAND OAKS BLVD STE 600",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W THOUSAND OAKS BLVD STE 600",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604463",
            "telephone_number": "805-777-3505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "975 Flynn Rd",
            "address_purpose": "LOCATION",
            "city": "Camarillo",
            "state": "CA",
            "postal_code": "930128704",
            "country_code": "US",
            "telephone_number": "805-443-0721",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HEATHER",
        "middle_name": "LYNN",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT80841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.