FERN HAVEN CENTER
NPI 1114044690
Counselor in Olympia, WA

Q: What is Fern Haven Center's NPI number?

The NPI number for Fern Haven Center is 1114044690. It was assigned to this organization in the NPPES registry on March 22, 2007.

Q: What is Fern Haven Center's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Fern Haven Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.

Active since March 22, 2007

5721 LIBBY RD NE, OLYMPIA, WA 98506(360) 754-1600(360) 754-4452 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Fern Haven Center NPPES

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

FERN HAVEN CENTER (NPI 1114044690) is a healthcare organization registered as a counselor in Olympia, Washington and active in the NPI registry since March 2007. The organization lists Rod Davis, Director, as its authorized official.

NPPES Registry Identity

NPI1114044690

Entity TypeOrganization

Primary Taxonomy101Y00000X

Legal Business NameFERN HAVEN CENTER

Location Address5721 LIBBY RD NEOlympia, WA 98506-1929

Mailing Address5721 Libby Rd NeOlympia, WA 98506-1929 · (360) 754-1600 · Fax (360) 754-4452

Phone(360) 754-1600

Fax(360) 754-4452

Organization SubpartNo

Authorized OfficialRod DavisDirector · (360) 754-1600

Enumeration DateMarch 22, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1114044690 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in WA · RC00046950

Definition

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.

5721 LIBBY RD NE, Olympia, WA 98506

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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

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 Fern Haven Center's NPI number?

The NPI number for Fern Haven Center is 1114044690. It was assigned to this organization in the NPPES registry on March 22, 2007.

Where is Fern Haven Center located?

Fern Haven Center is located at 5721 Libby Rd NE, Olympia, WA 98506. The listed phone number is (360) 754-1600.

What is Fern Haven Center's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Fern Haven Center was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.