Organization Active NPI

Haven of Support Counseling Services

  • Professional Counselor
  • Florissant, MO
National Provider Identifier
1144793456
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
HAVEN OF SUPPORT COUNSELING SERVICES
Practice address
243 Dunn Rd
Florissant, MO 63031-7928
Phone
(314) 325-1995
NPI assigned
Jan 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Authorized official

Name
Mrs. Lena Chapman, PLPC
Title
Therapist
Phone
(314) 922-6268

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

243 Dunn Rd
Florissant, MO 63031-7928

Mailing address

7447 Foxfield Dr
Hazelwood, MO 63042-1427
Phone (314) 922-6268

Other identifiers 1

IdentifierTypeStateIssuer
1295204691MedicaidMO

Other names 1

  • Haven of Support Counseling Services Doing business as

National Provider Directory

National Provider Directory

Locations

243 Dunn Rd
Florissant, MO 63031
Phone (314) 831-4455

NPI Registry JSON

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

{
    "created_epoch": "1546992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1144793456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 FOXFIELD DR",
            "city": "HAZELWOOD",
            "state": "MO",
            "postal_code": "630421427",
            "telephone_number": "314-922-6268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 DUNN RD",
            "city": "FLORISSANT",
            "state": "MO",
            "postal_code": "630317928",
            "telephone_number": "314-325-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN OF SUPPORT COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-09",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "CHAPMAN",
        "authorized_official_first_name": "LENA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "314-922-6268",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PLPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295204691",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven of Support Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Florissant, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.