Active NPI
Lee Sparrow Haven
- Professional Counselor
- Chesapeake, VA
National Provider Identifier
1740069731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- LEE SPARROW HAVEN
- Practice address
- 3608 Bosun Dr
Chesapeake, VA 23321-3310 - Phone
- (757) 828-6301
- NPI assigned
- Sep 27, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Adrienne Nicole Smith, LPC
- Title
- Founder and Executive Director
- Phone
- (757) 828-6301
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
3608 Bosun Dr
Chesapeake, VA 23321-3310
Mailing address
3608 Bosun Dr
Chesapeake, VA 23321-3310
Phone (757) 828-6301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30018117570001 | Medicaid | VA |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1695772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738195200000",
"number": "1740069731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3608 BOSUN DR",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233213310",
"telephone_number": "757-828-6301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3608 BOSUN DR",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233213310",
"telephone_number": "757-828-6301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LEE SPARROW HAVEN",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-27",
"last_updated": "2025-01-30",
"certification_date": "2025-01-30",
"status": "A",
"authorized_official_last_name": "SMITH",
"authorized_official_first_name": "ADRIENNE",
"authorized_official_middle_name": "NICOLE",
"authorized_official_title_or_position": "FOUNDER AND EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "757-828-6301",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30018117570001",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.