Healing Haven Mental Health
NPI 1922975978 · Clinical Social Worker · San Jacinto, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Healing Haven Mental Health is a Clinical Social Worker organization in San Jacinto, CA (NPI 1922975978).
Provider details
- NPI number
- 1922975978
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kenyada Wagoner, Ceo(650) 559-4850
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2025-10-22
- Last updated
- 2026-04-27
- Certified
- 2026-04-27
Frequently asked questions
- What is Healing Haven Mental Health's NPI number?
- Healing Haven Mental Health's National Provider Identifier (NPI) is 1922975978, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Healing Haven Mental Health?
- Healing Haven Mental Health is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Healing Haven Mental Health located?
- Healing Haven Mental Health's practice location on file with NPPES is 1519 Washington Ave, San Jacinto, CA 92583-6075.
- What is Healing Haven Mental Health's phone number?
- The practice phone number listed in the NPPES registry for Healing Haven Mental Health is (650) 559-4850.
- Does Healing Haven Mental Health accept Medicare?
- Healing Haven Mental Health is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Healing Haven Mental Health?
- The authorized official listed on Healing Haven Mental Health's NPPES record is Kenyada Wagoner, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Healing Haven Mental Health's NPI active?
- Yes — Healing Haven Mental Health's NPI (1922975978) is active in the NPPES registry as of the last update on 2026-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.