Haven Chemical Health

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

HAVEN CHEMICAL HEALTH

Practice address

950 9TH Ave
St Paul Park, MN 55071-1436

Phone

(651) 734-9633

Fax

(651) 734-9533

NPI assigned

Nov 19, 2020

Last updated

Nov 19, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

HAVEN CHEMICAL HEALTHAs reported in NPPES

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

Authorized official

Name

Jennifer Lynn Frazerjohn

Title

Administrator

Phone

(651) 734-9633

Specialties & licenses 1

Addresses

Part of

Haven Chemical Health

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1205439569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 WOODDALE DR STE 220",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551254421",
            "telephone_number": "651-734-9633",
            "fax_number": "651-734-9633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 9TH AVE",
            "city": "ST PAUL PARK",
            "state": "MN",
            "postal_code": "550711436",
            "telephone_number": "651-734-9633",
            "fax_number": "651-734-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN CHEMICAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAVEN CHEMICAL HEALTH",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "FRAZERJOHN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "651-734-9633"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evident Healthcare Management LLC
• Evident Social Services LLC
• Evident Transport LLC
• Gentle Comfort Home Care LLC
• Noor Haji-Munye
• Haven Chemical Health Systems, LLC (Janet's Residence)
• Heather Heinritz, OTR/L
• Mary Josephine Jensen
• Natural Science Academy
• Kaitlyn Pijanowski, MA

• Addiction (Substance Use Disorder) Counselor in St Paul Park, MN
• Providers in St Paul Park, MN by specialty
• Addiction (Substance Use Disorder) Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.