NPIMap

Organization Active NPI

Golden Hope Therapy Services LLC

  • Mental Health Counselor
  • Minneapolis, MN
National Provider Identifier
1114680691
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GOLDEN HOPE THERAPY SERVICES LLC
Practice address
100 S Washington Ave
Minneapolis, MN 55401
Phone
(862) 414-2214
NPI assigned
Oct 20, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Shakirah P Ewell, LPCNPI 1619577251
Title
Owner
Phone
(862) 414-2214

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

100 S Washington Ave
Minneapolis, MN 55401

Mailing address

4075 Linglestown Rd # 172
Harrisburg, PA 17112-1020
Phone (862) 414-2214

National Provider Directory

National Provider Directory

Locations

100 Washington Ave S
Minneapolis, MN 55401
Phone (855) 705-5444

4075 Linglestown Rd
Harrisburg, PA 17112
Phone (940) 784-3357

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": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1114680691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4075 LINGLESTOWN RD # 172",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171121020",
            "telephone_number": "862-414-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S WASHINGTON AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "55401",
            "telephone_number": "862-414-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN HOPE THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "EWELL",
        "authorized_official_first_name": "SHAKIRAH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "862-414-2214",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2023; 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.