Individual provider Active NPI

Celeste S Lunceford Havis

  • Professional Counselor
  • Austin, TX
National Provider Identifier
1679724843
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
17977 Issued in TX
Practice address
5807 Kevin Kelly PL
Austin, TX 78727-7010
Phone
(512) 217-8185
Fax
(512) 292-4458
NPI assigned
Oct 7, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 17977 TX Primary
Professional Counselor 101YP2500X 3129 TX

Addresses

Primary practice location

5807 Kevin Kelly PL
Austin, TX 78727-7010

Mailing address

5807 Kevin Kelly PL
Austin, TX 78727-7010
Phone (512) 217-8185

Other names 1

  • Mrs. Celeste S Lunceford Havis Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
17977TXMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1223337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223337600000",
    "number": "1679724843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5807 KEVIN KELLY PL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787277010",
            "telephone_number": "512-217-8185",
            "fax_number": "512-292-4458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5807 KEVIN KELLY PL",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787277010",
            "telephone_number": "512-217-8185",
            "fax_number": "512-292-4458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUNCEFORD HAVIS",
        "first_name": "CELESTE",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-07",
        "last_updated": "2008-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17977",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "3129",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CELESTE",
            "last_name": "LUNCEFORD HAVIS",
            "middle_name": "S",
            "prefix": "MRS.",
            "credential": "LPC-S",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.