Active NPI
Safe Haven Counseling, LLC
- Counselor
- Hilliard, OH
National Provider Identifier
1932651718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- E0600321
- Legal business name
- SAFE HAVEN COUNSELING, LLC
- Practice address
- 4094 Main St Ste 202
Hilliard, OH 43026-3429 - Phone
- (614) 777-6373
- Fax
- (614) 777-6375
- NPI assigned
- Oct 27, 2016
- Last updated
- Oct 27, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra Lee Deas, MS LPCC
- Title
- Counselor/Sole Proprietor
- Phone
- (614) 315-4190
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | E0600321 | OH | Primary |
| Mental Health Counselor | 101YM0800X | E0600321 | OH | |
| Professional Counselor | 101YP2500X | E0600321 | OH |
Addresses
Primary practice location
4094 Main St Ste 202
Hilliard, OH 43026-3429
Mailing address
4094 Main St Ste 202
Hilliard, OH 43026-3429
Phone (614) 777-6373
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
4094 Main St
Ste 202
Hilliard, OH 43026
Phone (614) 777-6373
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.
-
- Counselor
- Hilliard, OH
- NPI 1598083198
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1477526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477526400000",
"number": "1932651718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4094 MAIN ST STE 202",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430263429",
"telephone_number": "614-777-6373",
"fax_number": "614-777-6375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4094 MAIN ST STE 202",
"city": "HILLIARD",
"state": "OH",
"postal_code": "430263429",
"telephone_number": "614-777-6373",
"fax_number": "614-777-6375"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SAFE HAVEN COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-27",
"last_updated": "2016-10-27",
"status": "A",
"authorized_official_last_name": "DEAS",
"authorized_official_first_name": "SANDRA",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "COUNSELOR/SOLE PROPRIETOR",
"authorized_official_telephone_number": "614-315-4190",
"authorized_official_credential": "MS LPCC"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "E0600321",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "OH",
"license": "E0600321",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E0600321",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hilliard, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; 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.