Organization Active NPI

Footprints; Hope & Healing Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Yorkville, IL
National Provider Identifier
1073485850
Registry record updated Jan 5, 2026
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
FOOTPRINTS; HOPE & HEALING COUNSELING, LLC
Practice address
201 E Veterans Pkwy
Yorkville, IL 60560-1365
Phone
(573) 300-3899
NPI assigned
Sep 22, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2026

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

Authorized official

Name
Angela Jean FarrisNPI 1760726012
Title
Ceo
Phone
(573) 300-3899

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

201 E Veterans Pkwy
Yorkville, IL 60560-1365

Mailing address

201 E Veterans Pkwy # 7
Yorkville, IL 60560-1365
Phone (573) 300-3899

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260121002224 IL Part B Supplier - Clinic/Group Practice 7416434485 Receives reassigned benefits from 1 practitioner
Practice locations: Yorkville, IL

National Provider Directory

National Provider Directory

Locations

201 E Veterans Pkwy
Yorkville, IL 60560
Phone (573) 300-3899

201 E Veterans Pkwy
#7
Yorkville, IL 60560
Phone (573) 300-3899

Practitioners & affiliated clinicians

Practitioners 7

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": "1758499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767571200000",
    "number": "1073485850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 E VETERANS PKWY # 7",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601365",
            "telephone_number": "573-300-3899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E VETERANS PKWY",
            "city": "YORKVILLE",
            "state": "IL",
            "postal_code": "605601365",
            "telephone_number": "573-300-3899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTPRINTS; HOPE & HEALING COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-22",
        "last_updated": "2026-01-05",
        "certification_date": "2026-01-05",
        "status": "A",
        "authorized_official_last_name": "FARRIS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-300-3899"
    },
    "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 Yorkville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.