Organization Active NPI

Safe Haven Counseling LLC

  • Professional Counselor
  • North Pole, AK
National Provider Identifier
1326632233
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SAFE HAVEN COUNSELING LLC
Practice address
145 S Santa Claus LN
North Pole, AK 99705-7754
Phone
(907) 488-8848
Fax
(907) 488-0695
NPI assigned
Feb 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Authorized official

Name
Matthew L. Ruger, MA, LPCNPI 1407372790
Title
Owner
Phone
(907) 490-7233

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

145 S Santa Claus LN
North Pole, AK 99705-7754

Mailing address

145 S Santa Claus LN
North Pole, AK 99705-7754
Phone (907) 490-7233

Other identifiers 1

IdentifierTypeStateIssuer
1407372790OtherINDIVIDUAL NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241212003528 AK Part B Supplier - Clinic/Group Practice 3577099688 Receives reassigned benefits from 1 practitioner
Practice locations: North Pole, AK

National Provider Directory

National Provider Directory

Locations

145 S Santa Claus Ln
North Pole, AK 99705
Phone (907) 385-3937

145 S Santa Claus Ln
Ste 102
North Pole, AK 99705
Phone (907) 490-7233

Practitioners & affiliated clinicians

Practitioners 2

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": "1613952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724803200000",
    "number": "1326632233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 S SANTA CLAUS LN",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997057754",
            "telephone_number": "907-490-7233",
            "fax_number": "907-490-7234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 S SANTA CLAUS LN",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997057754",
            "telephone_number": "907-488-8848",
            "fax_number": "907-488-0695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-22",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A",
        "authorized_official_last_name": "RUGER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "907-490-7233",
        "authorized_official_credential": "MA, LPC"
    },
    "taxonomies": [
        {
            "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": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1407372790",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Pole, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.