Safe Haven Counseling PLLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SAFE HAVEN COUNSELING PLLC

Practice address

10622 160TH St
Tracy, MN 56175-1924

Phone

(507) 626-2063

Fax

(507) 516-0102

NPI assigned

Jun 14, 2023

Last updated

Jun 14, 2023By 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

Kristy Campbell, LPCNPI 1215647649

Title

Licensed Professional Counselor

Phone

(507) 626-2063

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

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.

• Kristy Marie Campbell, LPC

  • Professional Counselor
  • Tracy, MN
  • NPI 1215647649
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686700800000",
    "number": "1447934948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10622 160TH ST",
            "city": "TRACY",
            "state": "MN",
            "postal_code": "561751924",
            "telephone_number": "507-626-2063",
            "fax_number": "507-516-0102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10622 160TH ST",
            "city": "TRACY",
            "state": "MN",
            "postal_code": "561751924",
            "telephone_number": "507-626-2063",
            "fax_number": "507-516-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "507-626-2063",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• PBR Optometrists LTD of Tracy
• Marcos H Pinto, MD
• Prairie Lakes Family Dentistry
• Prairie Lakes Family Dentistry
• Khyle Edmund Radke, ATC
• Sanford Health Network (Sanford Hospital Tracy)
• Sanford Health Network
• Sanford Health Network (Sanford Clinic Tracy)
• Sanford Health Network (Sanford Tracy Hospital)
• Maria Catherine Schleppenbach-Grogan, PHARM.D.

• Professional Counselor in Tracy, MN
• Providers in Tracy, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.