HAVEN (NPI# 1578920120) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578920120 |
| Entity Type | Organization |
| Organization Name | HAVEN |
| Practice Address |
1996 Little Cottage Ln Apt 9 Bozeman MT 59715-9440 |
| Mailing Address |
Po Box 752 Bozeman MT 59771-0752 |
| Practice Telephone | 4065867689 |
| Mailing Telephone | 4065867689 |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |
| Authorized Official Name | JENNIFER BAIN (CO-EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4065867689 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | LCPC4673 | MT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154861086 | Haven | Psychiatry & Neurology | 626 Cordova St Ste 102, Anchorage, AK 99501-3783 | 2017-02-25 |
| 1184055436 | Haven | Psychiatry & Neurology | 20 S 16th St, Wilmington, NC 28401-4924 | 2013-12-11 |
| 1285862292 | Haven | Psychiatry & Neurology | 20 S 16th St, Wilmington, NC 28401-4924 | 2009-06-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | HAVEN | 5974 Trilogy St Se, Salem, OR 97306 |
| System for Award Management (SAM) Entities | HAVEN | 1106 E 8th St, Merrill, WI 54452-1113 |
| Washington State Corporations | HAVEN & FISKE, LLC | 112 N Haven St #b, Spokane, WA 99202 |
| Vermont Business Registrations | HAVEN & SON TOWING, INC. | Rt 4a, Ctr Rutland, VT 05763 |
| Alabama Business Registrations | Haven (Be lovely. Be happy. Be inspired.) LLC | 203 Atwater Drive, Madison, AL 35756 |
| Washington State Corporations | HAVEN - AVONDALE, LLC | 449 S Beverly Dr Ste 100, Beverly Hills, CA 90212 |
| Oregon Corporations, Companies and Business Names | HAVEN - HOME OF BEND | 856 Nw Bond St Ste 1, Bend, OR 97701 |
| New York State Corporations | HAVEN 100 PROJECT LLC | 15 Cobblestone Court, Orchard Park, Ny 14127 |
| Colorado Business Entities | Haven 127 at Eastlake Station | One North Wacker Drive, Ste 2402, Chicago, IL 60606 |
| New York State Corporations | HAVEN 172 LLC | 2504 40th Ave., Long Island City, Ny 11101 |
| Street Address |
1996 LITTLE COTTAGE LN APT 9 |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715-9440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124485586 | Jennifer Bain | Counselor | 1996 Little Cottage Ln Apt 9, Bozeman, MT 59715-9440 | 2016-01-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
| 1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
| 1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
| 1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
| 1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
| 1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
| 1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
| 1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
| 1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
| 1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
| Find all providers in zip 59715 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205313806 | Advanced Counseling Bozeman | Counselor | 300 N Willson Ave Ste 3005-10, Bozeman, MT 59715-3537 | 2018-07-26 |
| 1659858629 | Jennie Lynn Stanley | Counselor | 416 W Mendenhall St Unit C, Bozeman, MT 59715-3449 | 2018-07-23 |
| 1306341862 | Salie Marise Rowell | Counselor | 4055 Valley Commons Dr Ste H, Bozeman, MT 59718-6434 | 2018-03-27 |
| 1659870764 | Aubrey Hancock | Counselor | 3352 S 28th Ave, Bozeman, MT 59718-3712 | 2018-02-03 |
| 1972018372 | Francesca Schaerrer | Counselor | 65 W Kagy Blvd, Bozeman, MT 59715-6052 | 2017-12-07 |
| 1982149654 | Aimee Lynne Lang | Counselor | 2725 Jackrabbit Lane, Bozeman, MT 59718-5717 | 2017-01-04 |
| 1770939803 | Peter Coyle | Counselor | 2514 Snapdragon St, Bozeman, MT 59718-7589 | 2016-05-07 |
| 1124485586 | Jennifer Bain | Counselor | 1996 Little Cottage Ln Apt 9, Bozeman, MT 59715-9440 | 2016-01-15 |
| 1720462450 | Louise Hill | Counselor | 204 E Granite Ave # 4, Bozeman, MT 59718-6437 | 2015-07-13 |
| 1619391026 | Jennifer Emery Fiebig | Counselor | 321 E Main St Ste 417a, Bozeman, MT 59715-4797 | 2014-02-06 |
| Find all providers in BOZEMAN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.