Organization Active NPI

Haven of Hope Counseling Associates, LLC

  • Mental Health Counselor
  • Clifton Park, NY
National Provider Identifier
1063838696
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
000806-1 Issued in NY
Legal business name
HAVEN OF HOPE COUNSELING ASSOCIATES, LLC
Practice address
1471 Route 9
Suite 201
Clifton Park, NY 12065-6500
Phone
(518) 982-5376
NPI assigned
Mar 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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

Authorized official

Name
Mrs. Ann Simpson-McDowell, MA, LCAT
Title
Counselor
Phone
(518) 982-5376

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 000806-1 NY Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 001903-1 NY

Addresses

Primary practice location

1471 Route 9
Suite 201
Clifton Park, NY 12065-6500

Mailing address

1471 Route 9
Suite 201
Clifton Park, NY 12065-6500
Phone (518) 982-5376

National Provider Directory

National Provider Directory

Locations

1471 Route 9
Ste 201
Halfmoon, NY 12065
Phone (518) 982-5376

NPI Registry JSON

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394064000000",
    "number": "1063838696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1471 ROUTE 9",
            "address_2": "SUITE 201",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120656500",
            "telephone_number": "518-982-5376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1471 ROUTE 9",
            "address_2": "SUITE 201",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120656500",
            "telephone_number": "518-982-5376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN OF HOPE COUNSELING ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A",
        "authorized_official_last_name": "SIMPSON-MCDOWELL",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "518-982-5376",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, LCAT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "000806-1",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "001903-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; 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.