NPIMap

Organization Active NPI

Haven Behavioral Healthcare

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Colorado Springs, CO
National Provider Identifier
1871969691
Registry record updated Aug 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
LPC.0012577 Issued in CO
Legal business name
HAVEN BEHAVIORAL HEALTHCARE
Practice address
1330 Quail Lake Loop
Suite 200
Colorado Springs, CO 80906-4651
Phone
(719) 540-2100
NPI assigned
Aug 16, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2015

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

Authorized official

Name
Mr. Kendall William Datson, LPC
Title
Therapist
Phone
(719) 540-2100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X LPC.0012577 CO Primary

Addresses

Primary practice location

1330 Quail Lake Loop
Suite 200
Colorado Springs, CO 80906-4651

Mailing address

1330 Quail Lake Loop
Suite 200
Colorado Springs, CO 80906-4651
Phone (719) 540-2100

National Provider Directory

National Provider Directory
Tax ID family
Haven Behavioral Healthcare2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1439683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439683200000",
    "number": "1871969691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 QUAIL LAKE LOOP",
            "address_2": "SUITE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064651",
            "telephone_number": "719-540-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 QUAIL LAKE LOOP",
            "address_2": "SUITE 200",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809064651",
            "telephone_number": "719-540-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-16",
        "last_updated": "2015-08-16",
        "status": "A",
        "authorized_official_last_name": "DATSON",
        "authorized_official_first_name": "KENDALL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "719-540-2100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CO",
            "license": "LPC.0012577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2015; 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.