Active NPI
Safe Haven Counseling Center
- Mental Health Counselor
- Meridian, ID
National Provider Identifier
1104624279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- SAFE HAVEN COUNSELING CENTER
- Practice address
- 3715 E Overland Rd Ste 100
Meridian, ID 83642-8305 - Phone
- (208) 866-7059
- NPI assigned
- Mar 5, 2025
- Last updated
- Mar 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Courtney Burch
- Title
- Billing
- Phone
- (208) 890-2177
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
3715 E Overland Rd Ste 100
Meridian, ID 83642-8305
Mailing address
11407 W Reutzel Dr
Boise, ID 83709-4404
Other practice location 1
11407 W Reutzel Dr
Boise, ID 83709-4404
Phone (208) 866-7059
National Provider Directory
National Provider DirectoryLocations
3715 E Overland Rd
Ste 100
Meridian, ID 83642
Phone (208) 866-7059
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Social Worker
- Boise, ID
- NPI 1407221690
-
- Marriage & Family Therapist
- Nampa, ID
- NPI 1629400114
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741132800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741132800000",
"number": "1104624279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11407 W REUTZEL DR",
"city": "BOISE",
"state": "ID",
"postal_code": "837094404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3715 E OVERLAND RD STE 100",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836428305",
"telephone_number": "208-866-7059"
}
],
"practiceLocations": [
{
"address_1": "11407 W Reutzel Dr",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837094404",
"country_code": "US",
"telephone_number": "208-866-7059",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SAFE HAVEN COUNSELING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-05",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A",
"authorized_official_last_name": "BURCH",
"authorized_official_first_name": "COURTNEY",
"authorized_official_title_or_position": "BILLING",
"authorized_official_telephone_number": "208-890-2177"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.