The Haven Collective, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THE HAVEN COLLECTIVE, INC.

Doing business as

The Haven Group Indy

Practice address

9165 Otis Ave Ste 230
Indianapolis, IN 46216-2321

Phone

(317) 509-5727

NPI assigned

Aug 3, 2019

Last updated

Aug 3, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Kisha Parker, M.A., LMFTNPI 1700047149

Title

Ceo

Phone

(317) 509-5727

Specialties & licenses 1

Addresses

Other names 1

• The Haven Group Indy Doing business as

Locations

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.

• Kisha Parker, M.A.

  • Marriage & Family Therapist
  • Indianapolis, IN
  • NPI 1700047149

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1564790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564790400000",
    "number": "1376198788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9165 OTIS AVE STE 230",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162321",
            "telephone_number": "317-509-5727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9165 OTIS AVE STE 230",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462162321",
            "telephone_number": "317-509-5727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HAVEN COLLECTIVE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-03",
        "last_updated": "2019-08-03",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "KISHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "317-509-5727",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A., LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Haven Group Indy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2019; 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.