BGM Haven PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BGM HAVEN PLLC

Practice address

3063 Firethorn Ave
Orange Park, FL 32073-1624

Phone

(609) 792-9231

NPI assigned

Oct 13, 2025

Last updated

Oct 13, 2025By 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

Ashanti Crystal Belle, LMHCNPI 1104449008

Title

Owner /Provider

Phone

(609) 792-9231

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ashanti Crystal Belle, LMHC

  • Mental Health Counselor
  • Orange Park, FL
  • NPI 1104449008
  NPD Authorized official

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1801762224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3063 FIRETHORN AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320731624",
            "telephone_number": "609-792-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3063 FIRETHORN AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320731624",
            "telephone_number": "609-792-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BGM HAVEN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "BELLE",
        "authorized_official_first_name": "ASHANTI",
        "authorized_official_middle_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER /PROVIDER",
        "authorized_official_telephone_number": "609-792-9231",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Anthony Patrick Biello, PA-C
• James Roy Biggerstaff, M.D.
• Bita Bijanfar, PHARMD.
• Kayla Billings, MSW
• Jessica Binder

• Mental Health Counselor in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.