NPIMap

Organization Active NPI

Safe Haven Counseling Center

  • Professional Counselor
  • Pasadena, TX
National Provider Identifier
1518220482
Registry record updated Mar 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
65480 Issued in TX
Legal business name
SAFE HAVEN COUNSELING CENTER
Practice address
7433 Hinsdale Dr
Pasadena, TX 77505-1113
Phone
(281) 678-4622
Fax
(832) 872-2033
NPI assigned
Jun 16, 2012
Last updated
Mar 16, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Angela K Waggoner, PH.D., LPC-S, NCCNPI 1194060434
Title
Owner
Phone
(281) 678-4622

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 65480 TX
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Professional Counselor 101YP2500X 65480 TX Primary
School Counselor 101YS0200X 1245389 TX

Addresses

Primary practice location

7433 Hinsdale Dr
Pasadena, TX 77505-1113

Mailing address

4808 Fairmont Pkwy # 361
Pasadena, TX 77505-3722
Phone (281) 678-4622

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240729001525 TX Part B Supplier - Clinic/Group Practice 0547402976 Receives reassigned benefits from 1 practitioner
Practice locations: Friendswood, TX; Houston, TX

National Provider Directory

National Provider Directory

Locations

1560 W Bay Area Blvd
Ste 150
Friendswood, TX 77546
Phone (281) 218-7900

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1339804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710547200000",
    "number": "1518220482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4808 FAIRMONT PKWY # 361",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053722",
            "telephone_number": "281-678-4622",
            "fax_number": "832-872-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7433 HINSDALE DR",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775051113",
            "telephone_number": "281-678-4622",
            "fax_number": "832-872-2033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-16",
        "last_updated": "2024-03-16",
        "certification_date": "2024-03-16",
        "status": "A",
        "authorized_official_last_name": "WAGGONER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "281-678-4622",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LPC-S, NCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "65480",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "65480",
            "primary": true
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "TX",
            "license": "1245389",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2024; 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.