Organization Active NPI

Heartspring, LLC

  • Clinical Social Worker
  • Minneapolis, MN
National Provider Identifier
1558731422
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19191 Issued in MN
Legal business name
HEARTSPRING, LLC
Practice address
5047 30TH Ave S
Minneapolis, MN 55417-1309
Phone
(612) 747-1325
NPI assigned
Oct 4, 2015
Last updated
Mar 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Laura J Johnson, MSW, LICSWNPI 1194056812
Title
Psychotherapist
Phone
(612) 747-1325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 19191 MN Primary

Addresses

Primary practice location

5047 30TH Ave S
Minneapolis, MN 55417-1309

Mailing address

5047 30TH Ave S
Minneapolis, MN 55417-1309
Phone (651) 276-5538

National Provider Directory

National Provider Directory

Locations

410 E 48th St
Ste 2
Minneapolis, MN 55419
Phone (612) 747-1325

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1443916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1558731422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5047 30TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171309",
            "telephone_number": "651-276-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5047 30TH AVE S",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554171309",
            "telephone_number": "612-747-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTSPRING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-04",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "612-747-1325",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "19191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; 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.