Organization Active NPI

Haven Psychotherapy Licensed Clinical Social Worker Corp

  • Mental Health Counselor
  • Newport Beach, CA
National Provider Identifier
1790596872
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HAVEN PSYCHOTHERAPY LICENSED CLINICAL SOCIAL WORKER CORP
Practice address
1000 Quail St Ste 220
Newport Beach, CA 92660-2767
Phone
(949) 484-8124
NPI assigned
Jan 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Authorized official

Name
Andrea Owen, MSW, M.ED., LCSW
Title
Ceo and Founder
Phone
(949) 484-8124

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X

Addresses

Primary practice location

1000 Quail St Ste 220
Newport Beach, CA 92660-2767

Mailing address

1000 Quail St Ste 220
Newport Beach, CA 92660-2767
Phone (949) 484-8124

Other names 1

  • Haven Psychotherapy Doing business as

National Provider Directory

National Provider Directory

Locations

1000 Quail St
Ste 220
Newport Beach, CA 92660
Phone (714) 623-8653

NPI Registry JSON

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775088000000",
    "number": "1790596872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 QUAIL ST STE 220",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602767",
            "telephone_number": "949-484-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 QUAIL ST STE 220",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602767",
            "telephone_number": "949-484-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN PSYCHOTHERAPY LICENSED CLINICAL SOCIAL WORKER CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-16",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A",
        "authorized_official_last_name": "OWEN",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_title_or_position": "CEO AND FOUNDER",
        "authorized_official_telephone_number": "949-484-8124",
        "authorized_official_credential": "MSW, M.ED., LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2026; 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.