Haven Mental Wellness LLC
NPI 1497620116ActiveOrganization· Social Worker, Clinical· Sandpoint, ID
Social Worker, Clinical in Sandpoint, Idaho, registered in NPPES in October 2025. The authorized official on file is Amanda Louise Russell, LCSW, Owner.
Overview
| NPI | 1497620116 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 10, 2025 |
| Last updated in NPPES | Oct 10, 2025 |
| Certified by provider | Oct 10, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
| Counselor, Mental Health | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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