Organization Active NPI

Haven Behavioral Health Center

  • Mental Health Counselor
  • Leander, TX
National Provider Identifier
1871206748
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HAVEN BEHAVIORAL HEALTH CENTER
Practice address
2301 S Bagdad Rd Ste 404D
Leander, TX 78641-2309
Phone
(512) 868-7677
NPI assigned
Jan 5, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Authorized official

Name
Alissa Shutts, LPCNPI 1619521002
Title
Owner
Phone
(512) 868-7677

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2301 S Bagdad Rd Ste 404D
Leander, TX 78641-2309

Mailing address

2301 S Bagdad Rd Ste 404D
Leander, TX 78641-2309
Phone (512) 868-7677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241106002020 TX Part B Supplier - Clinic/Group Practice 0042744542 Receives reassigned benefits from 1 practitioner
Practice locations: Leander, TX

National Provider Directory

National Provider Directory

Locations

201 S Lakeline Blvd
Cedar Park, TX 78613
Phone (512) 553-8596

2301 Bagdad Rd
Ste 404D
Cedar Park, TX 78613

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733184000000",
    "number": "1871206748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 S BAGDAD RD STE 404D",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786412309",
            "telephone_number": "512-868-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S BAGDAD RD STE 404D",
            "city": "LEANDER",
            "state": "TX",
            "postal_code": "786412309",
            "telephone_number": "512-868-7677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN BEHAVIORAL HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-05",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A",
        "authorized_official_last_name": "SHUTTS",
        "authorized_official_first_name": "ALISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-868-7677",
        "authorized_official_credential": "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 Leander, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.