Organization Active NPI

Hope Counseling Associates

  • Clinical Social Worker
  • Fayetteville, AR
National Provider Identifier
1073051934
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
2205-C Issued in AR
Legal business name
HOPE COUNSELING ASSOCIATES
Practice address
215 N East Ave Ste 201
Fayetteville, AR 72701-5296
Phone
(901) 213-6395
NPI assigned
Feb 10, 2017
Last updated
Jan 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Authorized official

Name
Misti D Lira, LCSWNPI 1760511489
Title
Owner
Phone
(479) 239-9181

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 2205-C AR Primary

Addresses

Primary practice location

215 N East Ave Ste 201
Fayetteville, AR 72701-5296

Mailing address

215 N East Ave Ste 201
Fayetteville, AR 72701-5296
Phone (479) 239-9181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200811003426 AR Part B Supplier - Clinic/Group Practice 3476979220 Receives reassigned benefits from 4 practitioners
Practice locations: Fayetteville, AR

National Provider Directory

National Provider Directory

Locations

215 N East Ave
Ste 201
Fayetteville, AR 72701
Phone (479) 239-9181

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1486684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672704000000",
    "number": "1073051934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N EAST AVE STE 201",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015296",
            "telephone_number": "479-239-9181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 N EAST AVE STE 201",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727015296",
            "telephone_number": "901-213-6395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-10",
        "last_updated": "2023-01-03",
        "certification_date": "2022-12-05",
        "status": "A",
        "authorized_official_last_name": "LIRA",
        "authorized_official_first_name": "MISTI",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-239-9181",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "2205-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.