MS. HEATHER JEAN JOHNSON M.A., MFT, PSYD
NPI 1174657902
Psychologist in Placentia, CA

Active since March 15, 2007PECOS EnrolledAccepts Medicare Assignment
101 S KRAEMER BLVD, STE 114, PLACENTIA, CA 92870(714) 253-4104 Get Directions Write a Review

NPPES record last updated: November 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Heather Jean Johnson M.a., Mft, Psyd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. HEATHER JEAN JOHNSON M.A., MFT, PSYD (NPI 1174657902) is an individual psychologist in Placentia, California, licensed in California (PSY25944) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1174657902
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMS. HEATHER JEAN JOHNSONCredential: M.A., MFT, PSYD
Location Address101 S KRAEMER BLVD, STE 114Placentia, CA 92870-6109
Mailing Address17121 Black Walnut CtYorba Linda, CA 92886-6237 · (714) 812-4991
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateMarch 15, 2007
Last NPPES UpdateNovember 5, 2019
NPI 1174657902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in CA · PSY25944
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License MFC29054 (CA)
101 S KRAEMER BLVD, Placentia, CA 92870

Other Names 1

Former Name (1)Heather Jean Gumm

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Heather Jean Johnson M.a., Mft, Psyd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3971733460
PECOS Enrollment IDI20140228001943
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
101 S KRAEMER BLVD, SUITE 110
PLACENTIA, CA 92870
Rehabilitation Counselor
101 S KRAEMER BLVD, STE 216
PLACENTIA, CA 92870
Marriage & Family Therapist
101 S KRAEMER BLVD, STE. 110
PLACENTIA, CA 92870
Counselor (Addiction (Substance Use Disorder))
101 S KRAEMER BLVD, SUITE 123
PLACENTIA, CA 92870
Psychologist (Cognitive & Behavioral)
101 S KRAEMER BLVD, SUITE 125
PLACENTIA, CA 92870
Marriage & Family Therapist
101 S KRAEMER BLVD, STE 110
PLACENTIA, CA 92870
Clinic/Center (Mental Health (Including Community Mental Health Center))
101 S KRAEMER BLVD, SUITE 110
PLACENTIA, CA 92870
Chiropractor
101 S KRAEMER BLVD, STE 111
PLACENTIA, CA 92870

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heather Johnson's NPI number?

The NPI number for Heather Johnson is 1174657902. It was assigned to this individual provider in the NPPES registry on March 15, 2007. The provider is also known as Heather Jean Gumm.

Where is Heather Johnson located?

Heather Johnson practices at 101 S Kraemer Blvd Ste 114, Placentia, CA 92870. The listed phone number is (714) 253-4104.

What is Heather Johnson's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Heather Johnson enrolled in Medicare?

Yes. Heather Johnson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Heather Johnson was last updated on November 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.