MEDICARE: MICHELLE TERRI JOHNSON DBA COMPASSIONATE HEARTS THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1316817679
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHELLE TERRI JOHNSON DBA COMPASSIONATE HEARTS THERAPY LLC

Provider Business Mailing Address
First Line	:	1313 PLEASANT DR STE 160
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50265-2327
Country	:	US
Telephone Number	:	515-635-5763
Fax Number	:

Provider Business Practice Location Address
First Line	:	1313 PLEASANT DR STE 160
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50265-2327
Country	:	US
Telephone Number	:	515-635-5763
Fax Number	:

Authorized Official
Title or Position	:	CREDENTIALING ASSISTANT
Name	:	CAROL LEONARD
Credential	:
Telephone Number	:	515-669-8111

Provider Enumeration Date	:	11/10/2025
Last Update Date	:	11/10/2025

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