Active NPI
Fernanda Havemann, M.A., LPC-INTERN
- Professional Counselor
- The Woodlands, TX
National Provider Identifier
1093265704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 76500
- Practice address
- 25511 Budde Rd
Caroline Building Suite 1002
The Woodlands, TX 77380-2080 - Phone
- (281) 719-5539
- NPI assigned
- Oct 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 76500 | TX | Primary |
Addresses
Primary practice location
25511 Budde Rd
Caroline Building Suite 1002
The Woodlands, TX 77380-2080
Mailing address
25511 Budde Rd
Caroline Building Ste 1002
The Woodlands, TX 77380-2080
Other names 1
- Mrs. Fergie Havemann
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 12, 2024 through Feb 12, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 76500 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485993600000",
"number": "1093265704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25511 BUDDE RD",
"address_2": "CAROLINE BUILDING STE 1002",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773802080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25511 BUDDE RD",
"address_2": "CAROLINE BUILDING SUITE 1002",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773802080",
"telephone_number": "281-719-5539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAVEMANN",
"first_name": "FERNANDA",
"credential": "M.A., LPC-INTERN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-05",
"last_updated": "2017-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "76500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "FERGIE",
"last_name": "HAVEMANN",
"prefix": "MRS.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in The Woodlands, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.