Organization Active NPI

Safe Haven Counseling, LLC

  • Counselor
  • Hilliard, OH
National Provider Identifier
1932651718
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
E0600321 Issued in OH
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, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Authorized official

Name
Sandra Lee Deas, MS LPCCNPI 1598083198
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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20240903003585 OH Part B Supplier - Clinic/Group Practice 9234678301 Receives reassigned benefits from 1 practitioner
Practice locations: Hilliard, OH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.