Active NPI
Red Haven Therapy
- Community/Behavioral Health Agency
- Vian, OK
National Provider Identifier
1386532554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Janet Yvonne Richardson, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275805095 | Other | OK | INSURANCE PROVIDERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.