Woodhaven Counseling PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WOODHAVEN COUNSELING PLLC

Practice address

5411 Ramsey St
Fayetteville, NC 28311-1424

Phone

(910) 888-3534

NPI assigned

Mar 28, 2024

Organization subpart

No

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

Authorized official

Name

John Victor Jensen, LCMHCNPI 1184335879

Title

Owner

Phone

(910) 688-3534

Specialties & licenses 1

Addresses

Electronic endpoints 1

Tax ID family

Woodhaven Counseling PLLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Woodhaven Counseling PLLC

  • Mental Health Counselor
  • Fayetteville, NC
  • NPI 1134917677
  NPD tax ID

Locations

Practitioners 1

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

• John Victor Jensen, LCMHC

  • Mental Health Counselor
  • Fayetteville, NC
  • NPI 1184335879
  NPD Authorized official

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1083465017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5407 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283111419",
            "telephone_number": "910-688-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5411 RAMSEY ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283111424",
            "telephone_number": "910-888-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODHAVEN COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-688-3534",
        "authorized_official_credential": "LCMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "john.jensen@woodhavencounseling.org",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5411 Ramsey St",
            "city": "Fayetteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "283111424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• G. Martin Woodard, PH.D.
• Ken Woodard, RBT
• Woodbridge Alternative, Inc
• Michael George Woodcock, MD
• James W Woodford, DDS
• Woodhaven Counseling PLLC
• Corissa Woodlee
• Amar Yoshire Woodrow, LCSWA, LCASA
• Indya Renee Woods
• Kaitlin Marie Woods, DPT

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.