Heather J. Johnson, PSYD
NPI 1053631622ActiveIndividual· Psychologist, Counseling· St Louis Park, MN
Psychologist, Counseling (PSYD) in St Louis Park, Minnesota, licensed in MN, with an NPI issued in June 2010.
Overview
| NPI | 1053631622 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSYD |
| Sole proprietor | No |
| NPI issued | Jun 7, 2010 |
| Last updated in NPPES | Feb 11, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | 5388 | MN |
| Psychologist, Addiction (Substance Use Disorder) | 103TA0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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