Organization Active NPI

Safe Haven Counseling Center

  • Mental Health Counselor
  • Meridian, ID
National Provider Identifier
1104624279
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.