Safe Haven Therapy LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SAFE HAVEN THERAPY LLC

Practice address

420 St John
Thayer, MO 65791-8500

Phone

(800) 000-0000

NPI assigned

Sep 1, 2023

Last updated

Nov 3, 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

Tristar MBC

Title

Manager

Phone

(386) 703-9084

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Samantha Barnes, QBHP

  • Case Manager/Care Coordinator
  • Mammoth Spring, AR
  • NPI 1639835085
  NPD (past)
• Charlotte Ann Featherston, LPC

  • Counselor
  • Mammoth Spring, AR
  • NPI 1679723225

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698969600000",
    "number": "1467238808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 ST JOHN",
            "city": "THAYER",
            "state": "MO",
            "postal_code": "657918500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 ST JOHN",
            "city": "THAYER",
            "state": "MO",
            "postal_code": "657918500",
            "telephone_number": "800-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-11-03",
        "certification_date": "2023-11-03",
        "status": "A",
        "authorized_official_last_name": "MBC",
        "authorized_official_first_name": "TRISTAR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "386-703-9084"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rural Alliance for Better Family Health (Southern Missouri Community Health Center Thayer Clinic)
• Rural Alliance for Better Family Health (Southern Missouri Community Health Center)
• Rural Alliance for Better Family Health (Southern Missouri Community Health Center)
• Rural Alliance for Better Family Health (Oregon County Community Health Center)
• Olivia Russell
• Scott Ream Optometry PC
• Spring River Home Health Agency Inc
• Shena Lee Stevenson, AGNP-C
• Morgan Stone
• Thayer Drug Store LLC (Thayer Drug Store)

• Mental Health Counselor in Thayer, MO
• Providers in Thayer, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.