Active NPI
Haven Mental Health & Wellness
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lexington, SC
National Provider Identifier
1942056122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- HAVEN MENTAL HEALTH & WELLNESS
- Practice address
- 3237 Emanuel Church Rd
Lexington, SC 29073-8940 - Phone
- (803) 694-7040
- Fax
- (803) 694-7038
- NPI assigned
- Apr 27, 2024
- 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
- Mr. James Russell Salyer III
- Title
- Registered Agent
- Phone
- (307) 871-2728
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
3237 Emanuel Church Rd
Lexington, SC 29073-8940
Mailing address
1792 S Lake Dr Ste 90-235
Lexington, SC 29073-6824
Phone (803) 694-7040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1792 S Lake Dr
Ste 90235
Lexington, SC 29073
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Nurse Practitioner
- West Columbia, SC
- NPI 1811761893
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1714176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1743120000000",
"number": "1942056122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1792 S LAKE DR STE 90-235",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290736824",
"telephone_number": "803-694-7040",
"fax_number": "803-694-7038"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3237 EMANUEL CHURCH RD",
"city": "LEXINGTON",
"state": "SC",
"postal_code": "290738940",
"telephone_number": "803-694-7040",
"fax_number": "803-694-7038"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAVEN MENTAL HEALTH & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-27",
"last_updated": "2025-03-28",
"certification_date": "2025-03-28",
"status": "A",
"authorized_official_last_name": "SALYER",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "RUSSELL",
"authorized_official_title_or_position": "REGISTERED AGENT",
"authorized_official_telephone_number": "307-871-2728",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "163WP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.