Haven of Resilience Psychotherapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

HAVEN OF RESILIENCE PSYCHOTHERAPY, LLC

Practice address

649 Joan Dr
Mason, MI 48854-9546

Phone

(517) 763-6026

NPI assigned

Mar 24, 2025

Organization subpart

No

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

Authorized official

Name

Lizette Chacon, LMSWNPI 1033711395

Title

Owner/ Mental Health Therapist

Phone

(517) 763-6026

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lizette Chacon, LMSW

  • Clinical Social Worker
  • Mason, MI
  • NPI 1033711395
  Medicare reassignment NPD Authorized official
• Destiny Rebecca Aldred

  • Clinical Social Worker
  • Reed City, MI
  • NPI 1386287704
  Medicare reassignment NPD

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

{
    "created_epoch": "1742774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1043011273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 JOAN DR",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488549546",
            "telephone_number": "517-763-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 JOAN DR",
            "city": "MASON",
            "state": "MI",
            "postal_code": "488549546",
            "telephone_number": "517-763-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN OF RESILIENCE PSYCHOTHERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-24",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-23",
        "status": "A",
        "authorized_official_last_name": "CHACON",
        "authorized_official_first_name": "LIZETTE",
        "authorized_official_title_or_position": "OWNER/ MENTAL HEALTH THERAPIST",
        "authorized_official_telephone_number": "517-763-6026",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy J Hanover, RD
• Sydney Jean Hansen
• Matthew Ray Hargis, B.S.
• Xavier Harris
• Ryan Haughey
• Janis Lynn Haynes, RPH
• Healing Field Behavioral Health LLC
• Hearing Professionals of America LLC
• Heartland Home Care LLC
• Heartland Hospice Services LLC

• Clinical Social Worker in Mason, MI
• Providers in Mason, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.