Organization Active NPI

Haven of Peace Enterprise

  • Professional Counselor
  • Edgewood, NM
National Provider Identifier
1255273611
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
HAVEN OF PEACE ENTERPRISE
Practice address
9 Lacour LN
Edgewood, NM 87015-6002
Phone
(617) 407-2460
NPI assigned
Apr 7, 2026
Last updated
Apr 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

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

Authorized official

Name
Anthony Scott
Title
Ceo
Phone
(617) 407-2460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

9 Lacour LN
Edgewood, NM 87015-6002

Mailing address

9 Lacour LN
Edgewood, NM 87015-6002
Phone (617) 407-2460

Other names 1

  • Jill Campoli Other name

National Provider Directory

National Provider Directory

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": "1775520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1255273611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 LACOUR LN",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870156002",
            "telephone_number": "617-407-2460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LACOUR LN",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870156002",
            "telephone_number": "617-407-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN OF PEACE ENTERPRISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-07",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-407-2460"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jill Campoli",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Edgewood, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.