Haven Mental Health LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

HAVEN MENTAL HEALTH LLC

Practice address

301 W Michigan Ave Ste 407
Ypsilanti, MI 48197-5450

Phone

(269) 689-2540

NPI assigned

Nov 21, 2022

Last updated

Nov 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexis Kay Miller, LMSWNPI 1639709264

Title

Owner/Clinician

Phone

(269) 319-9417

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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.

• Alexis Kay Miller, LMSW

  • Social Worker
  • Dexter, MI
  • NPI 1639709264
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1689383309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7991 CAIN RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492019630",
            "telephone_number": "269-319-9417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 W MICHIGAN AVE STE 407",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481975450",
            "telephone_number": "269-689-2540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "269-319-9417",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Hastings
• Mary Hatam, CRNA
• Nicole M. Hatfield, LPTA
• James Haubert, MD
• Cristina Hauncher
• Claire Haven
• Marc Joseph Haxer
• Lindsay Elizabeth Hayes
• Lindsay Nicole Hayes
• Oriana Haynes

• Mental Health Clinic/Center (Including Community Mental Health Center) in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.