Active NPI
Facing the Future With Hope
- Contractor
- Phoenix, AZ
National Provider Identifier
1124372099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Contractor
- Legal business name
- FACING THE FUTURE WITH HOPE
- Practice address
- 5656 N 17TH Ave #C7
Phoenix, AZ 85015 - Phone
- (602) 795-5722
- NPI assigned
- Oct 31, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimara Blackman, PH D
- Title
- Ceo/Director
- Phone
- (602) 795-5722
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pastoral Counselor | 101YP1600X | |||
| Professional Counselor | 101YP2500X | |||
| Poetry Therapist | 102X00000X | |||
| Behavior Analyst | 103K00000X | |||
| Acupuncturist | 171100000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Contractor | 171W00000X | Primary | ||
| Community Health Worker | 172V00000X | |||
| Addiction Psychiatry Physician | 2084P0802X | |||
| Clinic/Center | 261Q00000X | |||
| Community Health Clinic/Center | 261QC1500X | |||
| Research Clinic/Center | 261QR1100X | |||
| Mental Illness Community Based Residential Treatment Facility | 320800000X | |||
| Psychiatric Residential Treatment Facility | 323P00000X | |||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
5656 N 17TH Ave #C7
Phoenix, AZ 85015
Mailing address
5656 N 17TH Ave #C7
Phoenix, AZ 85015
Phone (602) 795-5722
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351641600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351641600000",
"number": "1124372099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5656 N 17TH AVE #C7",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85015",
"telephone_number": "602-795-5722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5656 N 17TH AVE #C7",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85015",
"telephone_number": "602-795-5722"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FACING THE FUTURE WITH HOPE",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-31",
"last_updated": "2012-10-31",
"status": "A",
"authorized_official_last_name": "BLACKMAN",
"authorized_official_first_name": "KIMARA",
"authorized_official_title_or_position": "CEO/DIRECTOR",
"authorized_official_telephone_number": "602-795-5722",
"authorized_official_credential": "PH D"
},
"taxonomies": [
{
"code": "101YP1600X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "102X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Poetry Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "171100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "171W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Contractor",
"state": null,
"license": null,
"primary": true
},
{
"code": "172V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QC1500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Community Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR1100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Research",
"state": null,
"license": null,
"primary": false
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
},
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.