Kirstin'S Haven, Inc

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

KIRSTIN'S HAVEN, INC

Practice address

5801 Allentown Rd Ste 310&311
Camp Springs, MD 20746-4563

Phone

(240) 392-2876

Fax

(240) 838-3015

NPI assigned

Sep 8, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Stephen Foncham

Title

President/Ceo

Phone

(240) 392-2876

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Practitioners 6

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

• Victoria Ashade Cole, LCSW-C

  • Clinical Social Worker
  • Lanham, MD
  • NPI 1386017911

  DC

  Medicare reassignment Care Compare group NPD
• Becky A Jacks

  • Psychiatric/Mental Health Nurse Practitioner
  • Waldorf, MD
  • NPI 1245911767

  DC

  Medicare reassignment Care Compare group
• Kyanna Feliciana

  • Professional Counselor
  • Washington, DC
  • NPI 1851837116
  Medicare reassignment Care Compare group
• Jerrye B Feliciana, PHD, LCPC-S

  • Counselor
  • Camp Springs, MD
  • NPI 1871285056

  DC

  Medicare reassignment
• Judith Virginia Lelchook, LCSW-C

  • Mental Health Counselor
  • Baltimore, MD
  • NPI 1033428065

  DC

  Medicare reassignment
• Kimberly Renee White, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Pikesville, MD
  • NPI 1730769647

  DC

  Medicare reassignment

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1225585136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5801 ALLENTOWN RD STE 310&311",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207464563",
            "telephone_number": "240-392-2876",
            "fax_number": "240-838-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 ALLENTOWN RD STE 310&311",
            "city": "CAMP SPRINGS",
            "state": "MD",
            "postal_code": "207464563",
            "telephone_number": "240-392-2876",
            "fax_number": "240-838-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRSTIN'S HAVEN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-08",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "FONCHAM",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "240-392-2876",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirstin Care LLC
• Kirstin Care LLC
• Kirstin Care LLC
• Kirstin Care LLC
• Kirstin Care LLC
• Alyssa Klopfer, PA-C
• Natasha Knuckles
• LHMG Physical Therapy, LLC
• Latia R. Lorick, LGPC
• Luminis Health Medical Group, LLC

• Case Management Agency in Camp Springs, MD
• Providers in Camp Springs, MD by specialty
• Case Management Agency in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.