Heather Jane Johnson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5235 Issued in OR

Practice address

234 SW Eckman St
McMinnville, OR 97128-5752

Phone

(503) 883-9001

NPI assigned

Mar 6, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Collaborative Consultation & Counseling, LLC

  • Community/Behavioral Health Agency
  • McMinnville, OR
  • NPI 1447690318
  NPD (past) Authorized official

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

{
    "created_epoch": "1362528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362528000000",
    "number": "1699016246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 SW ECKMAN ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971285752",
            "telephone_number": "503-883-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 SW ECKMAN ST",
            "city": "MCMINNVILLE",
            "state": "OR",
            "postal_code": "971285752",
            "telephone_number": "503-883-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HEATHER",
        "middle_name": "JANE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-06",
        "last_updated": "2013-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "5235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John F. Martinez Inc
• Armance Kay Johnson, QMHP
• Cindy Johnson
• Erin Susan Johnson
• Gene O Johnson, RPH
• Jessica Nichole Johnson, CPM, LDM
• Katie Johnson, MD
• Marvin John Johnson, DMD
• Rodney Scott Johnson
• William Michael Johnson, M.D.

• Clinical Social Worker in McMinnville, OR
• Providers in McMinnville, OR by specialty
• Clinical Social Worker in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2013; 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.