DR. HEATHER JOHNSON PH.D., M.A., M.S.
NPI 1720307234
Counselor - Mental Health in San Diego, CA
About Dr. Heather Johnson Ph.d., M.a., M.s. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. HEATHER JOHNSON PH.D., M.A., M.S. (NPI 1720307234) is an individual mental health provider in San Diego, California and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Heather Johnson Ph.d., M.a., M.s. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN DIEGO, CA 92131
SAN DIEGO, CA 92131
SAN DIEGO, CA 92131
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 1720307234. It was assigned to this individual provider in the NPPES registry on May 24, 2010. The provider is also known as Dr. Heather Ellis.
Where is Heather Johnson located?
Heather Johnson practices at 9815 Carroll Canyon Rd Suite 101, San Diego, CA 92131. The listed phone number is (858) 863-6790.
What is Heather Johnson's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Heather Johnson enrolled in Medicare?
Yes. Heather Johnson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Heather Johnson was last updated on November 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.
# Dr. Heather Johnson, PH.D., M.A., M.S. · NPI 1720307234
Mental Health provider in San Diego, California. Individual provider, active in the CMS NPPES registry since May 24, 2010.
## Identity
- **NPI:** 1720307234 (Entity type: Individual)
- **Enumerated:** May 24, 2010
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 9815 CARROLL CANYON RD, SUITE 101, San Diego, CA 92131-1123
- **Phone:** (858) 863-6790
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
## Record status
- **NPPES last updated:** November 2, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1720307234) · Data from the CMS NPPES public registry.