Organization Active NPI

Haven of Hope, PLLC

  • Professional Counselor
  • Killeen, TX
National Provider Identifier
1629668686
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
HAVEN OF HOPE, PLLC
Practice address
1801 Mockingbird LN
Killeen, TX 76541-8962
Phone
(254) 371-4661
NPI assigned
Jan 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Angelia Jourdain, LPC
Title
Owner
Phone
(254) 371-4661

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1801 Mockingbird LN
Killeen, TX 76541-8962

Mailing address

1801 Mockingbird LN
Killeen, TX 76541-8962
Phone (254) 371-4661

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240409003656 TX Part B Supplier - Clinic/Group Practice 0749628758 Receives reassigned benefits from 1 practitioner
Practice locations: Killeen, TX

National Provider Directory

National Provider Directory

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": "1611446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1629668686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 MOCKINGBIRD LN",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765418962",
            "telephone_number": "254-371-4661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 MOCKINGBIRD LN",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765418962",
            "telephone_number": "254-371-4661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN OF HOPE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-24",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "JOURDAIN",
        "authorized_official_first_name": "ANGELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "254-371-4661",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2025; 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.