1. Home
  2. Directory
  3. Indiana
  4. Bloomington
  5. Clinic Center
  6. NPI Profile

HAVEN'S HOLISTIC HEALING LLC
NPI 1902619604
Clinic/Center - Primary Care in Bloomington, IN

Active since January 28, 2025
901 S ROGERS ST STE 101, BLOOMINGTON, IN 47403(812) 322-4979(317) 669-6896 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 7, 2026, Mar 17, 2026, Jan 7, 2026 and 1 more (4 updates tracked since 2025).

About Haven's Holistic Healing Llc NPPES

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

HAVEN'S HOLISTIC HEALING LLC (NPI 1902619604) is a healthcare organization registered as a primary care in Bloomington, Indiana and active in the NPI registry since January 2025. The organization lists Chastidy Haven, Owner, as its authorized official.

NPPES Registry Identity

NPI1902619604
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameHAVEN'S HOLISTIC HEALING LLC
Location Address901 S ROGERS ST STE 101Bloomington, IN 47403-4760
Mailing Address901 S Rogers St Ste 101Bloomington, IN 47403-4760 · (812) 322-4979 · Fax (317) 669-6896
Phone(812) 322-4979
Fax(317) 669-6896
Organization SubpartNo
Authorized OfficialChastidy HavenOwner · (812) 322-4979
Enumeration DateJanuary 28, 2025
Last NPPES UpdateApril 7, 20264 updates tracked since enumeration
NPPES CertifiedApril 7, 2026
✔ NPI 1902619604 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
901 S ROGERS ST STE 101, Bloomington, IN 47403
Open in Google Maps ↗

Accepted Insurance

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

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's Holistic Healing Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Haven's Holistic Healing LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Amanda Brashear, PMHNP
Nurse Practitioner
NPI 1174317259
3577 W COCKRELL RD
Bloomington, IN 47403
(812) 327-0171
✔ PECOS✔ Accepts Medicare4.3 mi
Kylie Miller, LCSW
Clinical Social Worker
NPI 1366337750
1030 E COUNTY LINE RD STE C1
Indianapolis, IN 46227
(317) 519-6861
✔ PECOS✔ Accepts Medicare39 mi
Chastidy Mader, FNP
Nurse Practitioner
NPI 1407694375
308 W PIKE AVE
Petersburg, IN 47567
(812) 354-8834
✔ PECOS✔ Accepts Medicare62 mi

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's Holistic Healing LLC's NPI number?

The NPI number for Haven's Holistic Healing LLC is 1902619604. It was assigned to this organization in the NPPES registry on January 28, 2025.

Where is Haven's Holistic Healing LLC located?

Haven's Holistic Healing LLC is located at 901 S Rogers St Ste 101, Bloomington, IN 47403. The listed phone number is (812) 322-4979.

What is Haven's Holistic Healing LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Haven's Holistic Healing LLC enrolled in Medicare?

Yes. Haven's Holistic Healing LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Haven's Holistic Healing LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Haven's Holistic Healing LLC, in Clinical Social Worker and Nurse Practitioner. 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. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Haven's Holistic Healing LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Haven's Holistic Healing LLC 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's Holistic Healing LLC was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.