Organization Active NPI

Harmony Haven Counseling PLLC

  • Mental Health Counselor
  • New York, NY
National Provider Identifier
1306577598
Registry record updated Apr 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HARMONY HAVEN COUNSELING PLLC
Practice address
244 5TH Ave Ste 2774
New York, NY 10001-7604
Phone
(212) 301-2644
NPI assigned
Jun 20, 2022
Organization subpart
Yes
Parent organization
CAROL COLE GLOBAL VENTURES INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 4, 2024

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

Authorized official

Name
Ilijha-Esrael Bastien, LPC
Title
Executive Director
Phone
(929) 318-6373

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Case Management Agency 251B00000X
Home Health Agency 251E00000X
Community Based Hospice Care Agency 251G00000X
Community Health Clinic/Center 261QC1500X
Health Service Clinic/Center 261QH0100X
Adult Mental Health Clinic/Center 261QM0850X
Non-emergency Medical Transport (VAN) 343900000X
Taxi 344600000X

Addresses

Primary practice location

244 5TH Ave Ste 2774
New York, NY 10001-7604

Mailing address

244 5TH Ave Ste 2774
New York, NY 10001-7604
Phone (866) 283-7036

Other identifiers 1

IdentifierTypeStateIssuer
NAMedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL esrab@carolcoleventures.com

National Provider Directory

National Provider Directory

Locations

244 5th Ave
Ste 2774
New York, NY 10001
Phone (212) 301-2644

NPI Registry JSON

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

{
    "created_epoch": "1655683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712188800000",
    "number": "1306577598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 5TH AVE STE 2774",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017604",
            "telephone_number": "866-283-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "244 5TH AVE STE 2774",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017604",
            "telephone_number": "212-301-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARMONY HAVEN COUNSELING PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CAROL COLE GLOBAL VENTURES INC.",
        "enumeration_date": "2022-06-20",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A",
        "authorized_official_last_name": "BASTIEN",
        "authorized_official_first_name": "ILIJHA-ESRAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "929-318-6373",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "344600000X",
            "taxonomy_group": "",
            "desc": "Taxi",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NA",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "esrab@carolcoleventures.com",
            "affiliation": "N",
            "address_1": "244 5th Ave Ste 2774",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100017604",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.