NPIMap

Organization Active NPI

Havens Counseling, Inc.

  • Marriage & Family Therapist
  • Fort Wayne, IN
National Provider Identifier
1437285368
Registry record updated Sep 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
35001539A Issued in IN
Legal business name
HAVENS COUNSELING, INC.
Practice address
2330 Beacon St Ste 105
Fort Wayne, IN 46805-3852
Phone
(260) 602-8009
NPI assigned
Feb 26, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2009

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

Authorized official

Name
Ms. Marjorie L. Havens, LMFTNPI 1760711808
Title
President
Phone
(260) 489-8138

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 35001539A IN Primary

Addresses

Primary practice location

2330 Beacon St Ste 105
Fort Wayne, IN 46805-3852

Mailing address

624 Pellston CT
Fort Wayne, IN 46825-2270

National Provider Directory

National Provider Directory

Locations

2330 Beacon St
Ste 105
Fort Wayne, IN 46805
Phone (260) 602-8009

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253577600000",
    "number": "1437285368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 PELLSTON CT",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468252270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 BEACON ST STE 105",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468053852",
            "telephone_number": "260-602-8009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVENS COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2009-09-22",
        "status": "A",
        "authorized_official_last_name": "HAVENS",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "260-489-8138",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "IN",
            "license": "35001539A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2009; 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.