H.O.P.E. Counseling Services LLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

1475 Issued in WY

Legal business name

H.O.P.E. COUNSELING SERVICES LLC

Practice address

113 S Gillette Ave
216
Gillette, WY 82716-3740

Phone

(307) 689-9090

Fax

(307) 689-9090

NPI assigned

Jun 18, 2015

Last updated

Jun 18, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kelley M Boltin, LPCNPI 1083985733

Title

Therapist

Phone

(307) 689-9090

Specialties & licenses 1

Addresses

Other identifiers 11

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelley Marie Boltin, M.S. LPC

  • Professional Counselor
  • Gillette, WY
  • NPI 1083985733
  Authorized official Same address or phone

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1184006876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 227",
            "city": "ROZET",
            "state": "WY",
            "postal_code": "827270227",
            "telephone_number": "307-689-9090",
            "fax_number": "307-689-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 S GILLETTE AVE",
            "address_2": "216",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827163740",
            "telephone_number": "307-689-9090",
            "fax_number": "307-689-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H.O.P.E. COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "BOLTIN",
        "authorized_official_first_name": "KELLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "307-689-9090",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "WY",
            "license": "1475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH",
            "identifier": "1083985733",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KID CARE CHIP",
            "identifier": "1083985733",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF WYOMING",
            "identifier": "1083985733",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1083985733",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERITAIN",
            "identifier": "1083985733",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRI-CARE",
            "identifier": "1083985733",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "1083985733",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "1083985733",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UBH",
            "identifier": "1083985733",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNHC",
            "identifier": "1083985733",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC",
            "identifier": "1083985733",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Gillette, WY
• Providers in Gillette, WY by specialty
• Point of Service in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.