Paula J Havice, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2009 Issued in CO

Practice address

1007 Old Dutch Mill Rd
Colorado Springs, CO 80907-3661

Phone

(719) 310-3860

NPI assigned

Aug 14, 2008

Reactivated

Sep 2, 2021

Last updated

Nov 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Deer Oaks West LLC

  • Clinical Psychologist
  • Littleton, CO
  • NPI 1316345291
  Medicare reassignment NPD

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

{
    "created_epoch": "1218672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1194971762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 OLD DUTCH MILL RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073661",
            "telephone_number": "719-310-3860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 OLD DUTCH MILL RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809073661",
            "telephone_number": "719-310-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVICE",
        "first_name": "PAULA",
        "middle_name": "J",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-14",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "deactivation_date": "2021-02-11",
        "reactivation_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CO",
            "license": "3677",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "2009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haven Corp.
• Haven Corporation
• Haven Therapy & Coaching PLLC
• Nathan R Havens, LPC
• Charles William Haverty, DO
• Marsha Hawk, RMT CNMT
• Bryan Austin Hawke, D.C.
• Jaelyn Hawken
• Alicia Ann Hawker, LPCC
• Connor Hawkes

• Professional Counselor in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.