Organization Active NPI

Red Haven Therapy

  • Community/Behavioral Health Agency
  • Vian, OK
National Provider Identifier
1386532554
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RED HAVEN THERAPY
Practice address
451289 E 966 Rd
Vian, OK 74962
Phone
(918) 640-6637
NPI assigned
Jun 26, 2025
Last updated
Oct 17, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Authorized official

Name
Ms. Janet Yvonne Richardson, LPCNPI 1275805095
Title
Owner/ Counselor
Phone
(918) 640-6637

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

451289 E 966 Rd
Vian, OK 74962

Mailing address

PO Box 37
Vian, OK 74962-0037
Phone (918) 640-6637

Other identifiers 1

IdentifierTypeStateIssuer
1275805095OtherOKINSURANCE PROVIDERS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251002002786 OK Part B Supplier - Clinic/Group Practice 2567968191 Receives reassigned benefits from 1 practitioner
Practice locations: Vian, OK

National Provider Directory

National Provider Directory

Locations

405 S Muskogee Ave
Tahlequah, OK 74464

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1750896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760659200000",
    "number": "1386532554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "city": "VIAN",
            "state": "OK",
            "postal_code": "749620037",
            "telephone_number": "918-640-6637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451289 E 966 RD",
            "city": "VIAN",
            "state": "OK",
            "postal_code": "74962",
            "telephone_number": "918-640-6637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RED HAVEN THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-26",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "OWNER/ COUNSELOR",
        "authorized_official_telephone_number": "918-640-6637",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INSURANCE PROVIDERS",
            "identifier": "1275805095",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vian, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.