Active NPI
Healing Haven Inc
- Mental Health Counselor
- London, KY
National Provider Identifier
1225755259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- HEALING HAVEN INC
- Practice address
- 1662 Highway 192 E
London, KY 40741-3114 - Phone
- (606) 389-5370
- NPI assigned
- Oct 20, 2022
- Last updated
- Feb 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Regina Lynn Lewis, LPCC
- Title
- Director
- Phone
- (606) 312-5897
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | NU | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | ||
| Mental Health Counselor | 101YM0800X | NU | Primary |
Addresses
Primary practice location
1662 Highway 192 E
London, KY 40741-3114
Mailing address
103 Sycamore St
London, KY 40741-1740
Phone (606) 312-5897
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100869380 | Medicaid | KY | |
| 7100870220 | Medicaid | KY |
National Provider Directory
National Provider DirectoryLocations
1662 Highway 192 E
London, KY 40741
Phone (606) 389-5370
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- London, KY
- NPI 1861742603
-
- Counselor
- London, KY
- NPI 1639856743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1677542400000",
"number": "1225755259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 SYCAMORE ST",
"city": "LONDON",
"state": "KY",
"postal_code": "407411740",
"telephone_number": "606-312-5897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1662 HIGHWAY 192 E",
"city": "LONDON",
"state": "KY",
"postal_code": "407413114",
"telephone_number": "606-389-5370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING HAVEN INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-20",
"last_updated": "2023-02-28",
"certification_date": "2023-02-28",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "REGINA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "606-312-5897",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100869380",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100870220",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in London, KY
- Heather Marie Hammack, APRN, FNP-C
- Kyle Thomas Harris, PHARMD, BCGP
- Joseph Hartfiel, DO
- David J Hays, MD
- Jeremie Hays, MD
- Healing Waters Behavioral Health
- Health Express Urgent Care PLLC
- Heartstrings Mental Health PLLC (Heartstrings Mental Health & Wellness, PLLC)
- Seyed Kamran Hejazi Kenari, M.D.
- Helping Hands Therapy LLC (Helping Hands Therapy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.