NPIMap

Organization Active NPI

Divine Hope Counseling

  • Substance Abuse Rehabilitation Facility
  • Willmar, MN
National Provider Identifier
1003042656
Registry record updated Jun 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1053421 Issued in MN
Legal business name
DIVINE HOPE COUNSELING
Practice address
328 3Rd St SW
Willmar, MN 56201-3475
Phone
(320) 231-9763
Fax
(320) 235-0334
NPI assigned
Jun 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Lori Kay Hanson, LADCNPI 1245571348
Title
Administrator
Phone
(320) 231-9763

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 1053421 MN Primary

Addresses

Primary practice location

328 3Rd St SW
Willmar, MN 56201-3475

Mailing address

328 3Rd St SW
Willmar, MN 56201-3475
Phone (320) 231-9763

Other identifiers 1

IdentifierTypeStateIssuer
1I52DIOtherMNBLUE CROSS BLUE SHIELD

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
24D1106360Divine Hope Counseling LLC328 SW 3Rd Street, Willmar, MN 56201Certificate of waiverOct 11, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1244505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339113600000",
    "number": "1003042656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 3RD ST SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013475",
            "telephone_number": "320-231-9763",
            "fax_number": "320-235-0334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "328 3RD ST SW",
            "city": "WILLMAR",
            "state": "MN",
            "postal_code": "562013475",
            "telephone_number": "320-231-9763",
            "fax_number": "320-235-0334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE HOPE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-09",
        "last_updated": "2012-06-08",
        "status": "A",
        "authorized_official_last_name": "HANSON",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "320-231-9763",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LADC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "MN",
            "license": "1053421",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1I52DI",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Willmar, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.