Safe Haven Child and Family Counseling Services,LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

C005101 Issued in NC

Legal business name

SAFE HAVEN CHILD AND FAMILY COUNSELING SERVICES,LLC

Practice address

233 S Sharon Amity Rd Ste 102
Charlotte, NC 28211-2893

Phone

(704) 763-9555

Fax

(704) 709-8580

NPI assigned

Jul 12, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Cosssandra Evette Miller, LCSW

Title

Psychotherapist

Phone

(704) 763-9555

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cossandra Evette Miller, LCSW

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1982798179
  Medicare reassignment Care Compare group NPD
• Kiara Sharnese Redice, LCMHCA

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1639764533
  Medicare reassignment Care Compare group NPD
• Anisha Roxanna Ames, MSW, LCSW-A

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1467919563
  NPD
• Kashmia A Fanning, MSW, LCSWA

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1295251213
  NPD
• Keyadd Miller, LCSWA

  • Clinical Social Worker
  • Charlotte, NC
  • NPI 1184141160
  NPD (past)

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715731200000",
    "number": "1851590558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 S SHARON AMITY RD STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112893",
            "telephone_number": "704-763-5555",
            "fax_number": "704-709-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 S SHARON AMITY RD STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282112893",
            "telephone_number": "704-763-9555",
            "fax_number": "704-709-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HAVEN CHILD AND FAMILY COUNSELING SERVICES,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-12",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "COSSSANDRA",
        "authorized_official_middle_name": "EVETTE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "704-763-9555",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": "C005101",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005705",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helen Saenz
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• Safe and Easy Transportation, LLC
• Safe and Sound Medical Transportation Inc
• Safe at Home Care, LLC
• Safe Haven Family Abuse Center
• Safe Haven Family Practice, PLLC
• Safe Haven Home for Girls, PLLC
• Safe Haven Psychiatrics PLLC
• Safe Havens Home Health LLC

• Community/Behavioral Health Agency in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.