Heather L Johnston, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

34004652A Issued in IN

Legal business name

HEATHER L JOHNSTON, LLC

Practice address

2420 N Coliseum Blvd Ste 201
Fort Wayne, IN 46805-3139

Phone

(260) 498-8009

Fax

(260) 408-5309

NPI assigned

Sep 29, 2017

Organization subpart

No

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

Authorized official

Name

Heather L Johnston, LCSWNPI 1053687145

Title

Owner

Phone

(260) 498-8009

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather L Johnston, MSW

  • Clinical Social Worker
  • Fort Wayne, IN
  • NPI 1053687145
  NPD (past) Authorized official

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871002121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 N COLISEUM BLVD STE 201",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468053139",
            "telephone_number": "260-498-8009",
            "fax_number": "260-408-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 N COLISEUM BLVD STE 201",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468053139",
            "telephone_number": "260-498-8009",
            "fax_number": "260-408-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER L JOHNSTON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-29",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "260-498-8009",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "34004652A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dustin Joseph Heath, DNP, CRNA
• Melanie J. Heath, NP
• Vickie S Heath, MS, MHA, LMHC
• Sharon Heaton, NP
• Eric Vaughn Heatwole, MD
• Lisa A. Heck, M.A.
• Robert Paul Heck, PH.D
• Sarah D Heck, FNP

• Mental Health Counselor in Fort Wayne, IN
• Providers in Fort Wayne, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.