Heather Marie Johnson, LCSW | |
8382 N Wayne Dr, Hayden, ID 83835-6028 | |
(208) 719-9110 | |
(208) 209-6026 |
Full Name | Heather Marie Johnson |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 8382 N Wayne Dr, Hayden, Idaho |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346758042 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 40713 (Idaho) | Secondary |
101YM0800X | Counselor - Mental Health | LMSW36887 (Idaho) | Primary |
Entity Name | Mind Matters Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376160820 PECOS PAC ID: 5890106918 Enrollment ID: O20201123000000 |
Mailing Address | Practice Location Address |
---|---|
Heather Marie Johnson, LCSW 8382 N Wayne Dr, Hayden, ID 83835-6028 Ph: (208) 719-9110 | Heather Marie Johnson, LCSW 8382 N Wayne Dr, Hayden, ID 83835-6028 Ph: (208) 719-9110 |
Ms. Catherine Michelle Strigotte, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 827 W Prairie Ave, Hayden, ID 83835 Phone: 208-215-5943 | |
Mrs. Melissa Delane Cross, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9351 N Justice Way, Hayden, ID 83835 Phone: 757-439-2624 | |
Roberta Boyd, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8182 N Wayne Dr Ste C, Hayden, ID 83835 Phone: 208-762-8777 | |
Mr. Clark William Guest, LAADC #LNR2090411 Counselor Medicare: Not Enrolled in Medicare Practice Location: 9494 N Government Way # 202, Hayden, ID 83835 Phone: 208-449-2509 | |
Robert Morrissette, Counselor Medicare: Not Enrolled in Medicare Practice Location: 157 W Hayden Ave, Ste 204, Hayden, ID 83835 Phone: 208-762-9770 | |
Jill Claudine Smith, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 88 W Commerce Dr, Suite C, Hayden, ID 83835 Phone: 208-762-4405 | |
Roni Melton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8182 N Wayne Drive, Suite C, Hayden, ID 83835 Phone: 208-762-8777 |