NPIMap

Organization Active NPI

Hope Tree Counseling Services Inc.

  • Community/Behavioral Health Agency
  • Waterloo, IA
National Provider Identifier
1114395258
Registry record updated Sep 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
470-3006 Issued in IA
Legal business name
HOPE TREE COUNSELING SERVICES INC.
Practice address
1420 W Donald St
Waterloo, IA 50703-1624
Phone
(319) 232-4673
NPI assigned
Sep 7, 2015
Last updated
Sep 17, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2015

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

Authorized official

Name
Sarah KianiNPI 1528576238
Title
Owner/Executive Director
Phone
(319) 232-4673

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
Community/Behavioral Health Agency 251S00000X 470-3006 IA Primary

Addresses

Primary practice location

1420 W Donald St
Waterloo, IA 50703-1624

Mailing address

1420 W Donald St
Waterloo, IA 50703-1624
Phone (319) 232-4673

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240129004373 IA Part B Supplier - Clinic/Group Practice 3476906132 Receives reassigned benefits from 3 practitioners
Practice locations: Waterloo, IA

National Provider Directory

National Provider Directory

Locations

1420 W Donald St
Waterloo, IA 50703
Phone (319) 232-4672

Practitioners & affiliated clinicians

Practitioners 9

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": "1441584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442448000000",
    "number": "1114395258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 W DONALD ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507031624",
            "telephone_number": "319-232-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 W DONALD ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507031624",
            "telephone_number": "319-232-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE TREE COUNSELING SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-07",
        "last_updated": "2015-09-17",
        "status": "A",
        "authorized_official_last_name": "KIANI",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "319-232-4673"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IA",
            "license": "470-3006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2015; 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.