Individual provider Active NPI

Laura J Havens, LMFT LMHC

  • Marriage & Family Therapist
  • Port Angeles, WA
National Provider Identifier
1245674829
Registry record updated Dec 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LF60805478 Issued in NU
Practice address
814 S Peabody St
Port Angeles, WA 98362-7906
Phone
(360) 460-0217
Fax
(360) 406-8688
NPI assigned
Apr 25, 2013
Last updated
Dec 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH60527932 WA
Marriage & Family Therapist 106H00000X LF60805478 NU Primary

Addresses

Primary practice location

814 S Peabody St
Port Angeles, WA 98362-7906

Mailing address

814 S Peabody St
Port Angeles, WA 98362-7906
Phone (360) 460-0217

Other identifiers 1

IdentifierTypeStateIssuer
2047063MedicaidWA

Other names 1

  • Laura J Costello Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH60527932WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Perry, Licsw, PLLC PastSince Jul 17, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1366848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766448000000",
    "number": "1245674829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 S PEABODY ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983627906",
            "telephone_number": "360-460-0217",
            "fax_number": "360-406-8688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 S PEABODY ST",
            "city": "PORT ANGELES",
            "state": "WA",
            "postal_code": "983627906",
            "telephone_number": "360-460-0217",
            "fax_number": "360-406-8688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAVENS",
        "first_name": "LAURA",
        "middle_name": "J",
        "credential": "LMFT LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-25",
        "last_updated": "2025-12-23",
        "certification_date": "2025-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60527932",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": "LF60805478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2047063",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "COSTELLO",
            "middle_name": "J",
            "credential": "LMFT LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Port Angeles, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2025; 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.