Active NPI
Crane Havens, LPC
- Mental Health Counselor
- Charleston, SC
National Provider Identifier
1487484978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 8670
- Practice address
- 1579 Harborsun Dr
Charleston, SC 29412-8274 - Phone
- (843) 997-6275
- NPI assigned
- Aug 7, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8670 | SC | Primary |
| Mental Health Counselor | 101YM0800X | COU.7062.PCI | SC |
Addresses
Primary practice location
1579 Harborsun Dr
Charleston, SC 29412-8274
Mailing address
1579 Harborsun Dr
Charleston, SC 29412-8274
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COU.7062.PCI | SC | MD | Mental Health Counselor |
| 8670 | SC | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724198400000",
"number": "1487484978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1579 HARBORSUN DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294128274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1579 HARBORSUN DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294128274",
"telephone_number": "843-997-6275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAVENS",
"first_name": "CRANE",
"name_prefix": "Mr.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-07",
"last_updated": "2024-08-21",
"certification_date": "2024-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "8670",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "SC",
"license": "COU.7062.PCI",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.