Haven's Holistic Healing LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

HAVEN'S HOLISTIC HEALING LLC

Practice address

901 S Rogers St Ste 101
Bloomington, IN 47403-4760

Phone

(812) 322-4979

Fax

(317) 669-6896

NPI assigned

Jan 28, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Chastidy Haven, FNP

Title

Owner

Phone

(812) 322-4979

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 4

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.

• Amanda Jane Brashear, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bloomington, IN
  • NPI 1174317259
  Medicare reassignment NPD
• Chastidy Mader, FNP

  • Family Nurse Practitioner
  • Petersburg, IN
  • NPI 1407694375
  Medicare reassignment NPD
• Lydia Ruth Banton, LMHC

  • Mental Health Counselor
  • Rushville, IN
  • NPI 1831353911
  Medicare reassignment
• Kylie Miller, LCSW

  • Clinical Social Worker
  • Indianapolis, IN
  • NPI 1366337750
  Medicare reassignment

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

{
    "created_epoch": "1738022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1902619604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 S ROGERS ST STE 101",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034760",
            "telephone_number": "812-322-4979",
            "fax_number": "317-669-6896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 S ROGERS ST STE 101",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474034760",
            "telephone_number": "812-322-4979",
            "fax_number": "317-669-6896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN'S HOLISTIC HEALING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-28",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "HAVEN",
        "authorized_official_first_name": "CHASTIDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-322-4979",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryn Hatton, RBT
• Peggy Pik-Yuk Hau, PT
• Darbi Haug
• Jennifer Marie Hauge, BS
• Stephanie Nicole Hautsch, PA-C
• William T Havens, PA
• Kelley Havill, LMFT, LMHC
• Emily Mikayla Hawkins, NP
• Emma Hawkins
• Jordan Hawkins, DPM

• Primary Care Clinic/Center in Bloomington, IN
• Providers in Bloomington, IN by specialty
• Primary Care Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; 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.