Organization Active NPI

Lee Sparrow Haven

  • Professional Counselor
  • Chesapeake, VA
National Provider Identifier
1740069731
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Adrienne Nicole Smith, LPCNPI 1053034363
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
30018117570001MedicaidVA

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.