Organization Active NPI

H.a.V.E.N. Counseling & Wellness Services

  • Mental Health Counselor
  • Katy, TX
National Provider Identifier
1306395108
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
70501 Issued in TX
Legal business name
H.A.V.E.N. COUNSELING & WELLNESS SERVICES
Practice address
2717 Commercial Center Blvd Ste E200
Katy, TX 77494-7823
Phone
(346) 667-3423
Fax
(346) 667-3422
NPI assigned
Sep 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Authorized official

Name
Dr. Damitra D Smith, LPC, LCDCNPI 1295198109
Title
Therapist
Phone
(346) 667-3423

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 70501 TX Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X

Addresses

Primary practice location

2717 Commercial Center Blvd Ste E200
Katy, TX 77494-7823

Mailing address

2717 Commercial Center Blvd Ste E200
Katy, TX 77494-7823
Phone (346) 667-3423

National Provider Directory

National Provider Directory

Locations

2717 Commercial Center Blvd
Ste E200
Katy, TX 77494
Phone (281) 865-5433

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1474502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728950400000",
    "number": "1306395108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2717 COMMERCIAL CENTER BLVD STE E200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947823",
            "telephone_number": "346-667-3423",
            "fax_number": "346-667-3422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2717 COMMERCIAL CENTER BLVD STE E200",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774947823",
            "telephone_number": "346-667-3423",
            "fax_number": "346-667-3422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H.A.V.E.N. COUNSELING & WELLNESS SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-22",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DAMITRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "346-667-3423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC, LCDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "70501",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.