Active NPI
Heather Justen
- Psychologist
- Fremont, OH
National Provider Identifier
1811804958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- LSP.00622
- Practice address
- 500 W State St Ste a
Fremont, OH 43420-2580 - Phone
- (419) 332-6454
- NPI assigned
- Aug 25, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | LSP.00622 | OH | Primary |
Addresses
Primary practice location
500 W State St Ste a
Fremont, OH 43420-2580
Mailing address
500 W State St Ste a
Fremont, OH 43420-2580
Phone (419) 332-6454
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1811804958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W STATE ST STE A",
"city": "FREMONT",
"state": "OH",
"postal_code": "434202580",
"telephone_number": "419-332-6454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W STATE ST STE A",
"city": "FREMONT",
"state": "OH",
"postal_code": "434202580",
"telephone_number": "419-332-6454"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUSTEN",
"first_name": "HEATHER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-08-25",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "OH",
"license": "LSP.00622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.