Haven Counseling and Wellness

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

MH15408

Legal business name

HAVEN COUNSELING AND WELLNESS

Practice address

2609 SW 33Rd St # 101-1
Ocala, FL 34471-7774

Phone

(352) 519-6991

NPI assigned

Oct 31, 2017

Organization subpart

No

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

Authorized official

Name

Nicolette ImmediatoNPI 1861922296

Title

President

Phone

(352) 519-6991

Specialties & licenses 1

Addresses

Other names 1

• Haven Counseling and Wellness Doing business as

Locations

Practitioners 1

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

• Nicolette Immediato

  • Mental Health Counselor
  • Ocala, FL
  • NPI 1861922296
  NPD (past) Authorized official

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

{
    "created_epoch": "1509408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509408000000",
    "number": "1053823930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 SW 33RD ST 101-1",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34471",
            "telephone_number": "352-519-6991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2609 SW 33RD ST # 101-1",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344717774",
            "telephone_number": "352-519-6991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN COUNSELING AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-31",
        "last_updated": "2017-10-31",
        "status": "A",
        "authorized_official_last_name": "IMMEDIATO",
        "authorized_official_first_name": "NICOLETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-519-6991"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": "MH15408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Counseling and Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meagan Hasner
• Nathan Michael Hastings, D.O.
• Riley Anne Hastings, PT, DPT
• Bruce Harwood Haughey, MBCHB MS FACS
• Jeremy D Havas, D.O
• Haven Eeoi Holdings LLC
• Cheryl J Hawk, M.D.
• Elaine Marie Hawkins, CRNA
• Michael Calvin Hawley Jr., LMT
• Hawthorne LLC

• Adult Mental Health Clinic/Center in Ocala, FL
• Providers in Ocala, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.