Active NPI
Heartspring, LLC
- Clinical Social Worker
- Minneapolis, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19191
- 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, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Laura J Johnson, MSW, LICSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Minneapolis, MN
- NPI 1194056812
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.