Active NPI
Haven Counseling LLC
- Mental Health Counselor
- Rapid City, SD
National Provider Identifier
1497239222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- HAVEN COUNSELING LLC
- Practice address
- 2650 Jackson Blvd # 6
Rapid City, SD 57702-3474 - Phone
- (605) 863-2498
- Fax
- (605) 646-2321
- NPI assigned
- Sep 18, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Koral Jane Olson, MS, LPC, NCC, CBIS
- Title
- Member Owner
- Phone
- (605) 641-2112
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2650 Jackson Blvd # 6
Rapid City, SD 57702-3474
Mailing address
2711 Lawndale Dr
Rapid City, SD 57702-4211
Phone (605) 641-2112
National Provider Directory
National Provider DirectoryLocations
2650 Jackson Blvd
#6
Rapid City, SD 57702
Phone (605) 863-2498
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Rapid City, SD
- NPI 1457665408
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711411200000",
"number": "1497239222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2711 LAWNDALE DR",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577024211",
"telephone_number": "605-641-2112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2650 JACKSON BLVD # 6",
"city": "RAPID CITY",
"state": "SD",
"postal_code": "577023474",
"telephone_number": "605-863-2498",
"fax_number": "605-646-2321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAVEN COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-18",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A",
"authorized_official_last_name": "OLSON",
"authorized_official_first_name": "KORAL",
"authorized_official_middle_name": "JANE",
"authorized_official_title_or_position": "MEMBER OWNER",
"authorized_official_telephone_number": "605-641-2112",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MS, LPC, NCC, CBIS"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rapid City, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.