Organization Active NPI

The Haven Counseling Services, LLC

  • Professional Counselor
  • Eldersburg, MD
National Provider Identifier
1639385677
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC0911 Issued in MD
Legal business name
THE HAVEN COUNSELING SERVICES, LLC
Practice address
1636 W Old Liberty Rd
Suite 1
Eldersburg, MD 21784-9335
Phone
(410) 635-8400
Fax
(410) 635-8444
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Jacquelyn Hyder, LCPC, LCADC
Title
Executive Director
Phone
(410) 635-8400

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X LCA046 MD
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LC0911 MD
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X LC0911 MD
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LC0911 MD Primary

Addresses

Primary practice location

1636 W Old Liberty Rd
Suite 1
Eldersburg, MD 21784-9335

Mailing address

1636 W Old Liberty Rd
Suite 1
Eldersburg, MD 21784-9335
Phone (410) 635-8400

National Provider Directory

National Provider Directory

Locations

1636 W Old Liberty Rd
Ste 1
Eldersburg, MD 21784
Phone (410) 635-8400

NPI Registry JSON

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1639385677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1636 W OLD LIBERTY RD",
            "address_2": "SUITE 1",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217849335",
            "telephone_number": "410-635-8400",
            "fax_number": "410-635-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 W OLD LIBERTY RD",
            "address_2": "SUITE 1",
            "city": "ELDERSBURG",
            "state": "MD",
            "postal_code": "217849335",
            "telephone_number": "410-635-8400",
            "fax_number": "410-635-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HAVEN COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "HYDER",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-635-8400",
        "authorized_official_credential": "LCPC, LCADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA046",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC0911",
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": "MD",
            "license": "LC0911",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC0911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eldersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.