HEATHER JOHNSON LLC


Address: 4601 Excelsior Blvd Ste 411, St Louis Park, MN 55416-4977
Phone: 6122949458

HEATHER JOHNSON LLC (NPI# 1750742300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750742300
Entity Type Organization
Organization Name HEATHER JOHNSON LLC
Practice Address 4601 Excelsior Blvd Ste 411
St Louis Park
MN 55416-4977
Practice Telephone 6122949458
Mailing Telephone 6122949458
Enumeration Date 2016-03-10
Last Update Date 2019-02-13
Authorized Official Name DR. HEATHER J JOHNSON (LICENSED PSYCHOLOGIST)
Authorized Official Telephone 6122949458
Authorized Official Credential PSYD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
5388 MN Behavioral Health & Social Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
2908 Humboldt Ave S, Minneapolis, MN 554081953 6122949458

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1184111833 Heather Johnson LLC Home Health Aide 1180 W Wishkah Ave, Post Falls, ID 83854-6472 2018-04-18

Office Location

Street Address 4601 EXCELSIOR BLVD STE 411
City ST LOUIS PARK
State MN
Zip Code 55416-4977

Providers in the same location

NPI Name Taxonomy Address Enumeration
1053631622 Heather J Johnson Psychologist 4601 Excelsior Blvd Ste 411, St Louis Park, MN 55416-4977 2010-06-07

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639711492 Ismahan Abdirahman Mohamed Psychologist 4236 Parkglen Rd, St Louis Park, MN 55416 2019-10-14
1598307860 Ayman Abulaziz Mohamed Counselor 4326 Park Glen Rd, St Louis Park, MN 55416 2019-10-08
1831758929 Ally Group Homes LLC Assisted Living Facility 2944 Princeton Ave South, Saint Louis Park, MN 55416 2019-06-11
1609371525 Heather Margaret Flatgard Chiropractor 5407 Excelsior Blvd Ste D, St Louis Park, MN 55416 2018-03-25
1942702394 Polaris Pharmacy Services of Minnesota, LLC Pharmacy 4220 Park Glen Road, St. Louis Park, MN 55416 2018-03-01
1316469760 Evert Ray Boyd Psychologist 3200 Highway 100 S., Groves Academy, St Louis Park, MN 55416 2017-07-07
1861941684 Amanda Marie Tapper Marriage & Family Therapist 5407 Excelsior Blvd, Suite B, St Louis Park, MN 55416 2016-09-22
1326410416 Clear Health Chiropractic LLC Chiropractor 5614 W 36th St, St. Louis Park, MN 55416 2015-10-28
1568897833 Kay Elizabeth Lichtenberger Physical Therapist 4415 W 36.5 St, St. Louis Park, MN 55416 2013-09-05
1710221510 Aaron Christopher Oppelt Counselor 1665 Utica Ave South - Suite 100, Saint Louis Park, MN 55416 2012-11-16
Find all providers in zip 55416

Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669778825 Gabrielle Mauren Psychologist 3800 Park Nicollet Blvd Fl 3, St Louis Park, MN 55416-2527 2011-02-07
1972607992 Mab Kathryn Nulty Psychologist 3440 Belt Line Blvd, Suite 104, St Louis Park, MN 55416-2652 2006-09-11
1285656470 James Akin Thomas IIi Psychologist 8700 W 36th St, Suite 7w, St Louis Park, MN 55426-3906 2006-07-24
1902292089 Worawan Turner Psychological Services LLC Psychologist 4021 Vernon Ave S, Suite 212, St Louis Park, MN 55416-2801 2015-04-15
1477803641 Kelsey Brown Helsing Psychologist 3800 Park Nicollet Blvd, St Louis Park, MN 55416-2527 2012-09-14
1154628758 Ashley N Mercer Psychologist 3800 Park Nicollet Blvd, Mental Health- 3 North, St Louis Park, MN 55416-2527 2011-02-16
1467609479 Carlin M Anderson Psychologist 3525 Monterey Dr, St Louis Park, MN 55416-5275 2008-08-20
1720201080 Shirley M. Rutherford Psychologist 7515 Wayzata Blvd, #212, St Louis Park, MN 55426-1604 2007-04-11
1215016258 Nancy Jane Barron Psychologist 4500 Park Glen Rd, #150, St Louis Park, MN 55416-4871 2006-11-02

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497355275 Paul Franklin Singh Psychologist 150 E Travelers Trl Ste G, Burnsville, MN 55337-6890 2020-10-29
1639779127 Abdifatah Nuuh Psychologist 4204 16th Ave S, Minneapolis, MN 55407-3312 2020-10-26
1134732514 Colleen Cashen Psychologist 1341 Cleveland Ave S, Saint Paul, MN 55116-2653 2020-08-26
1295357440 Pure Potential Counseling Psychologist 18685 Dylan Dr, Farmington, MN 55024-7070 2020-05-11
1871115337 Melissa Jean King Psychologist 205 W 2nd St Ste 437, Duluth, MN 55802-1922 2020-05-07
1841811296 Kristen Math X Psychologist 1603 Pebble Creek Dr, Sartell, MN 56377-4538 2020-04-27
1245859982 Thomas Allen Psychologist 12 Valley View Pl, Mankato, MN 56001-2500 2020-04-13
1033749163 Neurocalm, LLC Psychologist 3153 Hennepin Ave Ste 211, Minneapolis, MN 55408-2620 2020-01-16
1457999500 Megan Robb Psychologist 555 W Broadway Ave Ste 2and3, Forest Lake, MN 55025-1175 2019-12-18
1821635723 Leadership Coaching Institute LLC Psychologist 1264 Garden St, Ogilvie, MN 56358-3520 2019-12-10
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Competitor

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City ST LOUIS PARK
Zip Code 55416

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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