HAVEN INTERGRATIVE THERAPY CENTER, LLC
NPI 1730602996
Counselor - Mental Health in Montgomery, AL

Q: What is Haven Intergrative Therapy Center, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since July 19, 2017

4252 CARMICHAEL RD STE 107-108, MONTGOMERY, AL 36106(334) 356-4960(334) 356-4961 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 24, 2020, Jul 19, 2017 (2 updates tracked since 2017).

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About Haven Intergrative Therapy Center, Llc NPPES

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

HAVEN INTERGRATIVE THERAPY CENTER, LLC (NPI 1730602996) is a healthcare organization registered as a mental health in Montgomery, Alabama and active in the NPI registry since July 2017. The organization lists Carrie J Nelson, Member, as its authorized official.

NPPES Registry Identity

NPI1730602996

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameHAVEN INTERGRATIVE THERAPY CENTER, LLC

Location Address4252 CARMICHAEL RD STE 107-108Montgomery, AL 36106-2804

Mailing Address4252 Carmichael Rd Ste 107-108Montgomery, AL 36106-2804 · (334) 356-4960 · Fax (334) 356-4961

Phone(334) 356-4960

Fax(334) 356-4961

Organization SubpartNo

Authorized OfficialCarrie J NelsonMember · (334) 312-6774

Enumeration DateJuly 19, 2017

Last NPPES UpdateSeptember 24, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2020

✔ NPI 1730602996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in AL · 1646C

4252 CARMICHAEL RD STE 107-108, Montgomery, AL 36106

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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 MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haven Intergrative Therapy Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Haven Intergrative Therapy Center, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Carrie Nelson, PH.D, LICSW-PIP, MFT

Clinical Social Worker

NPI 1932256328

4252 CARMICHAEL RD STE 107-108
Montgomery, AL 36106

(334) 356-4960

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Intergrative Therapy Center, LLC's NPI number?

The NPI number for Haven Intergrative Therapy Center, LLC is 1730602996. It was assigned to this organization in the NPPES registry on July 19, 2017.

Where is Haven Intergrative Therapy Center, LLC located?

Haven Intergrative Therapy Center, LLC is located at 4252 Carmichael Rd Ste 107-108, Montgomery, AL 36106. The listed phone number is (334) 356-4960.

What is Haven Intergrative Therapy Center, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Haven Intergrative Therapy Center, LLC enrolled in Medicare?

Yes. Haven Intergrative Therapy Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Haven Intergrative Therapy Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Haven Intergrative Therapy Center, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Haven Intergrative Therapy Center, LLC was last updated on September 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.