Heather Johnson

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

ASW109937 Issued in CA

Practice address

250 Bon Air Rd
Kentfield, CA 94904-1702

Phone

(510) 867-0797

NPI assigned

Sep 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1632009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1912677162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "491 BENTON ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014836",
            "telephone_number": "510-867-0797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 BON AIR RD",
            "city": "KENTFIELD",
            "state": "CA",
            "postal_code": "949041702",
            "telephone_number": "510-867-0797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HEATHER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-19",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW109937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cedric Jackson Jr.
• Dustin Jacobsen
• Bhawna Jain
• Jeanette Rhoads Margolin, M.D.Inc
• John F. Herschleb D.D.S., Inc.
• Jacqueline Johnson
• Sarah Evans Kahn, LMFT
• Barbara Kalmanson, PH.D.
• Aram Katzman, PA-C
• Bonnie Kaufman, MSED, MHC

• Mental Health Counselor in Kentfield, CA
• Providers in Kentfield, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.