Active NPI
Safe Haven Counseling
- Addiction (Substance Use Disorder) Psychologist
- Hagerstown, MD
National Provider Identifier
1124149000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Psychologist
- Legal business name
- SAFE HAVEN COUNSELING
- Practice address
- 111 W Washington St
Hagerstown, MD 21740-4709 - Phone
- (301) 766-7214
- Fax
- (410) 872-9169
- NPI assigned
- Apr 2, 2007
- 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
- Mrs. Jeannine Jackson
- Title
- President
- Phone
- (301) 766-7214
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Addiction (Substance Use Disorder) Psychologist | 103TA0400X | Primary |
Addresses
Primary practice location
111 W Washington St
Hagerstown, MD 21740-4709
Mailing address
PO Box 743
Hagerstown, MD 21741-0743
Phone (410) 872-9188
National Provider Directory
National Provider DirectoryLocations
111 W Washington St
Hagerstown, MD 21740
Phone (301) 766-7214
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1124149000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217410743",
"telephone_number": "410-872-9188",
"fax_number": "410-872-9169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 W WASHINGTON ST",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217404709",
"telephone_number": "301-766-7214",
"fax_number": "410-872-9169"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFE HAVEN COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-02",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "JACKSON",
"authorized_official_first_name": "JEANNINE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "301-766-7214",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hagerstown, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.