Ms Heather Jean Johnson, MA, MFT, PSYD is a medicare enrolled "Psychologist" provider in Placentia, California. She graduated from healthcare school in 2009 and has 15 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Cognitive Care Solutions Group Inc and her current practice location is
101 S Kraemer Blvd, Ste 114, Placentia, California. You can reach out to her office (for appointments etc.) via phone at
(714) 253-4104.
Ms Heather Jean Johnson is licensed to practice in California (license number PSY25944) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174657902.
Healthcare Provider's Profile
Full Name | Ms Heather Jean Johnson |
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Gender | Female |
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Speciality | Clinical Psychologist |
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Experience | 15 Years |
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Location | 101 S Kraemer Blvd, Placentia, California |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Ms Heather Jean Johnson graduated from medical school in 2009
NPI Data:
- NPI Number: 1174657902
- Provider Enumeration Date: 03/15/2007
- Last Update Date: 11/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 3971733460
- Enrollment ID: I20140228001943
Medical Identifiers
Medical identifiers for Ms Heather Jean Johnson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1174657902 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | MFC29054 (California) | Secondary |
103T00000X | Psychologist | PSY25944 (California) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Heather Jean Johnson allows following entities to bill medicare on her behalf.
Entity Name | Enki Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1932230638 PECOS PAC ID: 8022926559 Enrollment ID: O20040117000204 |
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Entity Name | Cognitive Care Solutions Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548614183 PECOS PAC ID: 5698066124 Enrollment ID: O20160614000770 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Heather Jean Johnson is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Heather Jean Johnson, MA, MFT, PSYD 17121 Black Walnut Ct, Yorba Linda, CA 92886-6237 Ph: (714) 812-4991 | Ms Heather Jean Johnson, MA, MFT, PSYD 101 S Kraemer Blvd, Ste 114, Placentia, CA 92870-6109 Ph: (714) 253-4104 |
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