Soul Haven Counseling Oc, Inc.

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

SOUL HAVEN COUNSELING OC, INC.

Practice address

145 W Main St Ste 200B
Tustin, CA 92780-4360

Phone

(714) 485-7811

NPI assigned

Oct 9, 2026

Last updated

Oct 9, 2026By 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

Kristen Johnson, LPCC

Title

President, Ceo

Phone

(714) 485-7811

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1791504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791504000000",
    "number": "1750286787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 W MAIN ST STE 200B",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804360",
            "telephone_number": "714-485-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 W MAIN ST STE 200B",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927804360",
            "telephone_number": "714-485-7811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL HAVEN COUNSELING OC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-09",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "714-485-7811",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Tustin, CA
• Providers in Tustin, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.