NPIMap

Organization Active NPI

Haven of Hope of Dekalb County, Inc.

Doing business as Haven of Hope Counseling

  • Mental Health Counselor
  • Smithville, TN
National Provider Identifier
1932340288
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC0000000703 Issued in TN
Legal business name
HAVEN OF HOPE OF DEKALB COUNTY, INC.
Doing business as
Haven of Hope Counseling
Practice address
612 S Congress Blvd
Suite F
Smithville, TN 37166-2009
Phone
(615) 597-4673
Fax
(615) 597-4673
NPI assigned
Mar 17, 2009
Last updated
Mar 17, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Authorized official

Name
Kay Quintero, LPC, SLPENPI 1184745127
Title
Center Director
Phone
(615) 597-4673

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 Counselor 101YM0800X LPC0000000703 TN Primary

Addresses

Primary practice location

612 S Congress Blvd
Suite F
Smithville, TN 37166-2009

Mailing address

612 S Congress Blvd
Suite F
Smithville, TN 37166-2009
Phone (615) 597-4673

Other names 1

  • Haven of Hope Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

301 W Main St
Smithville, TN 37166
Phone (615) 597-4673

612 S Congress Blvd
Ste F
Smithville, TN 37166
Phone (615) 597-4673

Practitioners & affiliated clinicians

Practitioners 12

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": "1237248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237248000000",
    "number": "1932340288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 S CONGRESS BLVD",
            "address_2": "SUITE F",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371662009",
            "telephone_number": "615-597-4673",
            "fax_number": "615-597-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 S CONGRESS BLVD",
            "address_2": "SUITE F",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371662009",
            "telephone_number": "615-597-4673",
            "fax_number": "615-597-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAVEN OF HOPE OF DEKALB COUNTY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-17",
        "last_updated": "2009-03-17",
        "status": "A",
        "authorized_official_last_name": "QUINTERO",
        "authorized_official_first_name": "KAY",
        "authorized_official_title_or_position": "CENTER DIRECTOR",
        "authorized_official_telephone_number": "615-597-4673",
        "authorized_official_credential": "LPC, SLPE"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "LPC0000000703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Haven of Hope Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Smithville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2009; 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.