Organization Active NPI

Hope Light Counseling Services LLC

  • Community/Behavioral Health Agency
  • Emporia, KS
National Provider Identifier
1174997589
Registry record updated Nov 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3975 Issued in KS
Legal business name
HOPE LIGHT COUNSELING SERVICES LLC
Practice address
9 W 5TH Ave
Emporia, KS 66801-4035
Phone
(620) 481-6036
Fax
(620) 208-6145
NPI assigned
Nov 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2015

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

Authorized official

Name
Cynthia Kaye Maxwell, LSCSWNPI 1053473249
Title
Owner
Phone
(620) 481-6036

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 3975 KS Primary

Addresses

Primary practice location

9 W 5TH Ave
Emporia, KS 66801-4035

Mailing address

9 W 5TH Ave
Emporia, KS 66801-4035
Phone (620) 481-6036

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151223001200 KS Part B Supplier - Clinic/Group Practice 1456652080 Receives reassigned benefits from 1 practitioner
Practice locations: Emporia, KS

National Provider Directory

National Provider Directory

Locations

9 W 5th Ave
Emporia, KS 66801
Phone (620) 208-6144

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": "1448236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448236800000",
    "number": "1174997589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 W 5TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668014035",
            "telephone_number": "620-481-6036",
            "fax_number": "620-208-6145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 W 5TH AVE",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668014035",
            "telephone_number": "620-481-6036",
            "fax_number": "620-208-6145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE LIGHT COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-23",
        "last_updated": "2015-11-23",
        "status": "A",
        "authorized_official_last_name": "MAXWELL",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-481-6036",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KS",
            "license": "3975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporia, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.