Spirit of Hope, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

SPIRIT OF HOPE, LLC

Practice address

1637 Old US 66
Edgewood, NM 87015

Phone

(505) 750-2743

NPI assigned

Dec 9, 2021

Organization subpart

No

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

Authorized official

Name

Kara Shrader, LPCCNPI 1376028035

Title

Owner

Phone

(505) 750-2743

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NM

Enrollment records 1

Practitioners 2

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

• Kara Nicole Shrader, LPCC

  • Mental Health Counselor
  • Edgewood, NM
  • NPI 1376028035
  Medicare reassignment NPD Authorized official
• Kayla Rogers, LPCC

  • Professional Counselor
  • Albuquerque, NM
  • NPI 1235524505

  Mental Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641168000000",
    "number": "1174282909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "870150009",
            "telephone_number": "505-750-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1637 OLD US 66",
            "city": "EDGEWOOD",
            "state": "NM",
            "postal_code": "87015",
            "telephone_number": "505-750-2743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT OF HOPE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2022-01-03",
        "certification_date": "2022-01-03",
        "status": "A",
        "authorized_official_last_name": "SHRADER",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-750-2743",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy Smith, LCSW
• Smiths Food & Drug Centers Inc
• Justin Snow, PT
• Shamaine Spencer, D.D.S.
• Jeana Spindle, M.S. CCC-SLP
• Sybol Estelle Stewart, SA-C
• Grant Sudholt, RPH
• Sunrise Counseling Services NM LLC
• Apryl Swainston, RPH, PHARM.D
• Swim Good Industries

• Adult Mental Health Clinic/Center in Edgewood, NM
• Providers in Edgewood, NM by specialty
• Adult Mental Health Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2022; 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.