Active NPI
Safe Haven Counseling
- Mental Health Counselor
- Jackson, MI
National Provider Identifier
1770152076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- SAFE HAVEN COUNSELING
- Practice address
- 1931 Horton Rd Ste 3
Jackson, MI 49203-5599 - Phone
- (517) 300-6973
- NPI assigned
- Jun 21, 2021
- 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
- Dawn Lafountain, MS LPC
- Title
- Counselor
- Phone
- (517) 960-5566
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1931 Horton Rd Ste 3
Jackson, MI 49203-5599
Mailing address
1931 Horton Rd Ste 3
Jackson, MI 49203-5599
Phone (517) 300-6973
National Provider Directory
National Provider DirectoryLocations
1931 Horton Rd
Ste 3
Jackson, MI 49203
Phone (517) 300-6973
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": "1624233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638921600000",
"number": "1770152076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1931 HORTON RD STE 3",
"city": "JACKSON",
"state": "MI",
"postal_code": "492035599",
"telephone_number": "517-300-6973",
"fax_number": "517-224-5278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1931 HORTON RD STE 3",
"city": "JACKSON",
"state": "MI",
"postal_code": "492035599",
"telephone_number": "517-300-6973"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFE HAVEN COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-21",
"last_updated": "2021-12-08",
"certification_date": "2021-12-08",
"status": "A",
"authorized_official_last_name": "LAFOUNTAIN",
"authorized_official_first_name": "DAWN",
"authorized_official_title_or_position": "COUNSELOR",
"authorized_official_telephone_number": "517-960-5566",
"authorized_official_credential": "MS LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.