NPIMap

Organization Active NPI

One Hope United

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mount Vernon, IL
National Provider Identifier
1194443267
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ONE HOPE UNITED
Practice address
4805 Broadway St Ste C
Mount Vernon, IL 62864-6702
Phone
(618) 228-1133
Fax
(773) 692-2323
NPI assigned
Aug 16, 2022
Last updated
Jun 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
Heather Christine Kelly
Title
Asst. Director of Behavioral Health
Phone
(217) 273-5398

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

4805 Broadway St Ste C
Mount Vernon, IL 62864-6702

Mailing address

333 S Wabash Ave Ste 2750
Chicago, IL 60604-4264
Phone (847) 245-6598

Other names 1

  • Kids Hope United Other name

National Provider Directory

National Provider Directory
Tax ID family
One Hope United28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Locations

333 S Wabash Ave
Ste 2750
Chicago, IL 60604

4805 Broadway St
#C
Mount Vernon, IL 62864
Phone (224) 289-7161

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1194443267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 S WABASH AVE STE 2750",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606044264",
            "telephone_number": "847-245-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 BROADWAY ST STE C",
            "city": "MOUNT VERNON",
            "state": "IL",
            "postal_code": "628646702",
            "telephone_number": "618-228-1133",
            "fax_number": "773-692-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE HOPE UNITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-16",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "ASST. DIRECTOR OF BEHAVIORAL HEALTH",
        "authorized_official_telephone_number": "217-273-5398"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kids Hope United",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Kids Hope United",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Mount Vernon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.