The Heart'S Haven Center for Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THE HEART'S HAVEN CENTER FOR COUNSELING

Practice address

3454 Oak Alley CT Ste 304
Toledo, OH 43606-1365

Phone

(567) 246-9010

Fax

(567) 429-0185

NPI assigned

Jun 25, 2021

Organization subpart

No

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

Authorized official

Name

Leonna T Jackson, LISWNPI 1093263964

Title

Owner

Phone

(419) 870-9461

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leonna Jackson, LISW

  • Social Worker
  • Toledo, OH
  • NPI 1093263964
  NPD (past) Authorized official
• Kaitlin Gabrielle Mallery, LSW

  • Social Worker
  • Perrysburg, OH
  • NPI 1659891463
  NPD (past)
• Stacy Willis

  • Social Worker
  • Toledo, OH
  • NPI 1437048816
  NPD (past)

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

{
    "created_epoch": "1624579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1194395897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3454 OAK ALLEY CT STE 304",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061365",
            "telephone_number": "567-246-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 OAK ALLEY CT STE 304",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061365",
            "telephone_number": "567-246-9010",
            "fax_number": "567-429-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEART'S HAVEN CENTER FOR COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-25",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "LEONNA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-870-9461",
        "authorized_official_credential": "LISW"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "275409",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "theheartshavencounseling.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5825 W Bancroft St",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436153305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Social Worker in Toledo, OH
• Providers in Toledo, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.