H O P E Counseling and Addiction Services LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

H O P E COUNSELING AND ADDICTION SERVICES LLC

Practice address

1319 Florencedale Ave
Youngstown, OH 44505-2719

Phone

(330) 743-4673

Fax

(330) 743-9004

NPI assigned

Mar 27, 2019

Organization subpart

No

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

Authorized official

Name

Alicia Santilli, LISW-SNPI 1417488198

Title

Chief Operations Office

Phone

(330) 743-4673

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alicia Santilli, LISW

  • Clinical Social Worker
  • Youngstown, OH
  • NPI 1417488198
  Medicare reassignment Care Compare group NPD Authorized official
• Marian Ann Mattern, CNP, PMHNP, RN

  • Nurse Practitioner
  • Youngstown, OH
  • NPI 1366799082
  Medicare reassignment Care Compare group NPD
• Charles Wagner

  • Internal Medicine Physician
  • New Castle, PA
  • NPI 1205819232

  OH

  Medicare reassignment NPD
• Rachel Ellen Wagner, CDCA

  • Addiction (Substance Use Disorder) Counselor
  • Youngstown, OH
  • NPI 1265905541
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1124589759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1319 FLORENCEDALE AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052719",
            "telephone_number": "330-743-4673",
            "fax_number": "330-743-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1319 FLORENCEDALE AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445052719",
            "telephone_number": "330-743-4673",
            "fax_number": "330-743-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H O P E COUNSELING AND ADDICTION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-27",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "SANTILLI",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_title_or_position": "CHIEF  OPERATIONS  OFFICE",
        "authorized_official_telephone_number": "330-743-4673",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hope@ovtcmail.com",
            "affiliation": "N",
            "address_1": "1319 Florencedale Ave",
            "city": "Youngstown",
            "state": "OH",
            "country_code": "US",
            "postal_code": "445052719",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erica D Gutshall, WHNP
• Jerrilyn G Guy, LPCC
• Zoe Mae Guzman
• Mark Gwilt
• Gypsy Lane Endoscopy Suites, Inc.
• H Robert Gaetano, O.D., Inc
• Laura Jane Haas, MSW LSW
• Khalid A Habo, M.D.
• Bethany Haddle
• Justina Hafely

• Substance Use Disorder Rehabilitation Clinic/Center in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.