Organization Active NPI

Haven Behavioral Health

  • Professional Counselor
  • Milwaukee, WI
National Provider Identifier
1235689951
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3202-226 Issued in WI
Legal business name
HAVEN BEHAVIORAL HEALTH
Practice address
1409 E Capitol Dr
Suite 202
Milwaukee, WI 53211-1900
Phone
(414) 963-8711
Fax
(866) 545-1113
NPI assigned
Oct 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

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

Authorized official

Name
Ms. Patricia Michelle Carrington, LPCNPI 1013574409
Title
Licensed Professional Counselor
Phone
(414) 559-0845

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 3202-226 WI Primary

Addresses

Primary practice location

1409 E Capitol Dr
Suite 202
Milwaukee, WI 53211-1900

Mailing address

10105 W Coldspring Rd
Apt. # a -106
Greenfield, WI 53228-2659
Phone (414) 559-0845

National Provider Directory

National Provider Directory

Locations

1409 E Capitol Dr
Ste 202
Milwaukee, WI 53211
Phone (414) 963-8711

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1235689951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10105 W COLDSPRING RD",
            "address_2": "APT. # A -106",
            "city": "GREENFIELD",
            "state": "WI",
            "postal_code": "532282659",
            "telephone_number": "414-559-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 E CAPITOL DR",
            "address_2": "SUITE 202",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532111900",
            "telephone_number": "414-963-8711",
            "fax_number": "866-545-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "CARRINGTON",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "414-559-0845",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3202-226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milwaukee, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.