NPIMap

Organization Active NPI

Haven Chemical Health Systems

  • Addiction (Substance Use Disorder) Counselor
  • Waconia, MN
National Provider Identifier
1295898872
Registry record updated Aug 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1015009-2-CDT Issued in MN
Legal business name
HAVEN CHEMICAL HEALTH SYSTEMS
Practice address
233 1St St W
Waconia, MN 55387
Phone
(952) 442-6227
Fax
(952) 442-6228
NPI assigned
Dec 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2013

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

Authorized official

Name
Rebecca Haven
Title
Contract Manager
Phone
(651) 734-9633

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 1015009-2-CDT MN Primary

Addresses

Primary practice location

233 1St St W
Waconia, MN 55387

Mailing address

2042 Wooddale Dr
Suite 220
Woodbury, MN 55125-2981
Phone (651) 734-9633

Other names 1

  • The Haven in Waconia Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Haven Chemical Health Systems LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2042 Wooddale Dr
Ste 220
Woodbury, MN 55125
Phone (651) 734-9633

NPI Registry JSON

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376265600000",
    "number": "1295898872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 WOODDALE DR",
            "address_2": "SUITE 220",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252981",
            "telephone_number": "651-734-9633",
            "fax_number": "651-734-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 1ST ST W",
            "city": "WACONIA",
            "state": "MN",
            "postal_code": "55387",
            "telephone_number": "952-442-6227",
            "fax_number": "952-442-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN CHEMICAL HEALTH SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2013-08-12",
        "status": "A",
        "authorized_official_last_name": "HAVEN",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "651-734-9633"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MN",
            "license": "1015009-2-CDT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Haven in Waconia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waconia, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2013; 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.