Organization Active NPI

Fairhaven Foundation, Inc.

Doing business as Fairhaven Counseling, Inc

  • Mental Health Counselor
  • Munroe Falls, OH
National Provider Identifier
1689722456
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FAIRHAVEN FOUNDATION, INC.
Doing business as
Fairhaven Counseling, Inc
Practice address
117 Guise Park Dr
Munroe Falls, OH 44262-1514
Phone
(330) 472-3078
Fax
(234) 263-6005
NPI assigned
Jan 8, 2007
Last updated
Aug 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Authorized official

Name
Dr. Collin A Myers, PH.D., PCC
Title
Director
Phone
(330) 472-3078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

117 Guise Park Dr
Munroe Falls, OH 44262-1514

Mailing address

117 Guise Park Dr
Munroe Falls, OH 44262-1514
Phone (330) 472-3078

Other names 1

  • Fairhaven Counseling, Inc Doing business as

National Provider Directory

National Provider Directory

Locations

2675 Oakwood Dr
Cuyahoga Fls, OH 44221
Phone (330) 940-2522

4301 Darrow Rd
Ste 1601
Stow, OH 44224
Phone (330) 940-2522

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754870400000",
    "number": "1689722456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 GUISE PARK DR",
            "city": "MUNROE FALLS",
            "state": "OH",
            "postal_code": "442621514",
            "telephone_number": "330-472-3078",
            "fax_number": "234-263-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 GUISE PARK DR",
            "city": "MUNROE FALLS",
            "state": "OH",
            "postal_code": "442621514",
            "telephone_number": "330-472-3078",
            "fax_number": "234-263-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAIRHAVEN FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "COLLIN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "330-472-3078",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., PCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fairhaven Counseling, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Munroe Falls, OH

Sources for this page

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