Active NPI
Children'S Safe Haven Inc
- Mental Health Counselor
- Louisville, KY
National Provider Identifier
1619511615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- CHILDREN'S SAFE HAVEN INC
- Practice address
- 1939 Goldsmith Lane
Suite 130
Louisville, KY 40218-3175 - Phone
- (502) 822-3178
- Fax
- (502) 822-3179
- NPI assigned
- Nov 1, 2019
- 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
- Tonesha Denise Hearn
- Title
- Owner/Executive Director
- Phone
- (502) 822-3178
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
1939 Goldsmith Lane
Suite 130
Louisville, KY 40218-3175
Mailing address
1939 Goldsmith Lane
Suite 130
Louisville, KY 40218-3175
Phone (502) 822-3178
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100638520 | Medicaid | KY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1572566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1715644800000",
"number": "1619511615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1939 GOLDSMITH LANE",
"address_2": "SUITE 130",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402183175",
"telephone_number": "502-822-3178",
"fax_number": "502-822-3179"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1939 GOLDSMITH LANE",
"address_2": "SUITE 130",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402183175",
"telephone_number": "502-822-3178",
"fax_number": "502-822-3179"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHILDREN'S SAFE HAVEN INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-11-01",
"last_updated": "2024-05-14",
"status": "A",
"authorized_official_last_name": "HEARN",
"authorized_official_first_name": "TONESHA",
"authorized_official_middle_name": "DENISE",
"authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "502-822-3178"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100638520",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.