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HAVEN MENTAL WELLNESS PLLC
NPI 1104598838
Social Worker - Clinical in Elizabeth City, NC

Active since September 30, 2021
111 S ROAD ST, ELIZABETH CITY, NC 27909(252) 619-2309 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 14, 2025, Jan 18, 2022, Sep 30, 2021 (3 updates tracked since 2021).

About Haven Mental Wellness Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAVEN MENTAL WELLNESS PLLC (NPI 1104598838) is a healthcare organization registered as a clinical in Elizabeth City, North Carolina and active in the NPI registry since September 2021. The organization lists Gemini J Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1104598838
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameHAVEN MENTAL WELLNESS PLLC
Location Address111 S ROAD STElizabeth City, NC 27909-4355
Mailing Address1851 W Ehringhaus St Ste 154Elizabeth City, NC 27909-4555 · (252) 619-2309 · Fax (883) 287-6271
Phone(252) 619-2309
Organization SubpartNo
Authorized OfficialGemini J JohnsonOwner · (252) 619-2309
Enumeration DateSeptember 30, 2021
Last NPPES UpdateMarch 14, 20253 updates tracked since enumeration
NPPES CertifiedMarch 14, 2025
✔ NPI 1104598838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
111 S ROAD ST, Elizabeth City, NC 27909
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. GEMINI JEWEL JOHNSON MSW, LCSW
Social Worker (Clinical)
111 S ROAD ST
ELIZABETH CITY, NC 27909
Pasquotank County (252) 619-2309
LOVE YOU MORE COUNSELING & CONSULTING PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
111 S ROAD ST
ELIZABETH CITY, NC 27909
Pasquotank County (252) 301-8859

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Haven Mental Wellness PLLC's NPI number?

The NPI number for Haven Mental Wellness PLLC is 1104598838. It was assigned to this organization in the NPPES registry on September 30, 2021.

Where is Haven Mental Wellness PLLC located?

Haven Mental Wellness PLLC is located at 111 S Road St, Elizabeth City, NC 27909. The listed phone number is (252) 619-2309.

What is Haven Mental Wellness PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Haven Mental Wellness PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Haven Mental Wellness PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Haven Mental Wellness PLLC was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.