Haven Jane Leland, CTRS

Primary specialty

Recreation TherapistTaxonomy code 225800000X

License

69697 Issued in VA

Practice address

927 N Main St
Marion, VA 24354-4117

Phone

(276) 783-7529

NPI assigned

Oct 21, 2020

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kidz at Play Therapy, PLLC

  • Rehabilitation Clinic/Center
  • Marion, VA
  • NPI 1760753545

  Single Specialty

  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 21, 2020.

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1154920197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 N MAIN ST",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544117",
            "telephone_number": "276-783-7529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 N MAIN ST",
            "city": "MARION",
            "state": "VA",
            "postal_code": "243544117",
            "telephone_number": "276-783-7529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LELAND",
        "first_name": "HAVEN",
        "middle_name": "JANE",
        "name_prefix": "Ms.",
        "credential": "CTRS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Recreation Therapist",
            "state": "VA",
            "license": "69697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Laraway, ACNP-BC
• Nicole Bostic Lawson, PHARMD
• Jordyn Leach
• Angela Leagans, FNP-BC
• Tori Madison Leichnam
• Gale Leonard
• Laura Dellinger Lester, PHARMD
• Christin Coran Long, LCSW
• Sherry W. Love, NP
• Stephanie Messer Lowe, CNM

• All providers in Marion, VA
• Recreation Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.