NPIMap

Organization Active NPI

Haven Health & Wellness LLC

  • Adult Mental Health Clinic/Center
  • Vancouver, WA
National Provider Identifier
1821690363
Registry record updated Nov 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
HAVEN HEALTH & WELLNESS LLC
Doing business as
Haven Health & Wellness
Practice address
1404 NE 134TH St Ste 180C
Vancouver, WA 98685-2799
Phone
(360) 450-5778
Fax
(833) 992-2065
NPI assigned
Nov 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2020

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

Authorized official

Name
Dr. Lana Ferris, NDNPI 1376140418
Title
Physician
Phone
(360) 450-5778

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)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

1404 NE 134TH St Ste 180C
Vancouver, WA 98685-2799

Mailing address

2301 NE 81St St Apt E43
Vancouver, WA 98665-2023
Phone (360) 980-2166

Other names 1

  • Haven Health & Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

1404 NE 134th St
Ste 180C
Vancouver, WA 98685
Phone (360) 450-5778

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22448/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 3

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": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1821690363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 NE 81ST ST APT E43",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986652023",
            "telephone_number": "360-980-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 NE 134TH ST STE 180C",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986852799",
            "telephone_number": "360-450-5778",
            "fax_number": "833-992-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN HEALTH & WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "FERRIS",
        "authorized_official_first_name": "LANA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "360-450-5778",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven Health & Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; 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.