Haven Professional Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC006708 Issued in PA

Legal business name

HAVEN PROFESSIONAL COUNSELING, LLC

Practice address

105 Stonepile Rd
New Wilmington, PA 16142-2527

Phone

(814) 881-1329

Fax

(775) 360-3993

NPI assigned

Oct 18, 2017

Last updated

Oct 18, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jennifer ThummNPI 1760728646

Title

Owner

Phone

(814) 881-1329

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Thumm, M.A.

  • Professional Counselor
  • Mercer, PA
  • NPI 1760728646
  NPD Authorized official
• Kelli Redfoot

  • Mental Health Counselor
  • New Castle, PA
  • NPI 1912385550
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508284800000",
    "number": "1013428937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 STONEPILE RD",
            "city": "NEW WILMINGTON",
            "state": "PA",
            "postal_code": "161422527",
            "telephone_number": "814-881-1329",
            "fax_number": "775-360-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 STONEPILE RD",
            "city": "NEW WILMINGTON",
            "state": "PA",
            "postal_code": "161422527",
            "telephone_number": "814-881-1329",
            "fax_number": "775-360-3993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN PROFESSIONAL COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2017-10-18",
        "status": "A",
        "authorized_official_last_name": "THUMM",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "814-881-1329"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC006708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Geibel, COTA/L
• George Junior Republic in Pennsylvania
• Emma Sophia Gruver, PA-C
• Tonya Hansen, LPC
• Bradley John Hartzler, L.AC.
• Meghan Hawthorne, MS, LAT, ATC
• Hendrickson Clinical Innovations Group, PC (Clarity Skin Centers)
• Chad Scott Hendrickson, M.D.
• Joshua David Holzworth, DPT
• Hope Extended Care Services Inc

• Professional Counselor in New Wilmington, PA
• Providers in New Wilmington, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.