Organization Active NPI

Hope Harbor Counseling NFP

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marion, IL
National Provider Identifier
1073230165
Registry record updated Oct 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HOPE HARBOR COUNSELING NFP
Practice address
1602 W Walnut St
Marion, IL 62959-1310
Phone
(618) 364-2504
NPI assigned
Oct 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2022

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

Authorized official

Name
Ms. Crystina Maria Wells, LCPCNPI 1477118974
Title
Clinician
Phone
(618) 364-2504

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1602 W Walnut St
Marion, IL 62959-1310

Mailing address

1602 W Walnut St
Marion, IL 62959-1310
Phone (618) 364-2504

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1666224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666224000000",
    "number": "1073230165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 W WALNUT ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591310",
            "telephone_number": "618-364-2504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 W WALNUT ST",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629591310",
            "telephone_number": "618-364-2504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE HARBOR COUNSELING NFP",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-20",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A",
        "authorized_official_last_name": "WELLS",
        "authorized_official_first_name": "CRYSTINA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "618-364-2504",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.