Organization Active NPI

Haven Counseling LLC

  • Mental Health Counselor
  • Rapid City, SD
National Provider Identifier
1497239222
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Mar 26, 2024

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, CBISNPI 1457665408
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.