Organization Active NPI

Stable Haven Counseling PLLC

  • Mental Health Counselor
  • Dublin, VA
National Provider Identifier
1417722935
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
STABLE HAVEN COUNSELING PLLC
Practice address
6561 Hazel Hollow Rd
Dublin, VA 24084-5679
Phone
(540) 307-0779
Fax
(518) 636-1882
NPI assigned
Nov 15, 2023
Last updated
Nov 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Authorized official

Name
Dr. Heide L Burch, PHDNPI 1487907002
Title
Owner/Practitioner
Phone
(540) 307-0779

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

6561 Hazel Hollow Rd
Dublin, VA 24084-5679

Mailing address

6561 Hazel Hollow Rd
Dublin, VA 24084-5679
Phone (540) 307-0779

National Provider Directory

National Provider Directory

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": "1700006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700006400000",
    "number": "1417722935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6561 HAZEL HOLLOW RD",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "240845679",
            "telephone_number": "540-307-0779",
            "fax_number": "518-636-1882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6561 HAZEL HOLLOW RD",
            "city": "DUBLIN",
            "state": "VA",
            "postal_code": "240845679",
            "telephone_number": "540-307-0779",
            "fax_number": "518-636-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STABLE HAVEN COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A",
        "authorized_official_last_name": "BURCH",
        "authorized_official_first_name": "HEIDE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "540-307-0779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.