Organization Active NPI

One Hope Counseling, PLLC

  • Community/Behavioral Health Agency
  • Alexandria, MN
National Provider Identifier
1194459834
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ONE HOPE COUNSELING, PLLC
Practice address
625 Broadway St Ste 102
Alexandria, MN 56308-1664
Phone
(320) 808-3070
Fax
(320) 763-7500
NPI assigned
Jul 9, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Authorized official

Name
Kathryn LichtyNPI 1477830263
Title
Owner/Therapist
Phone
(320) 808-3070

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 Primary

Addresses

Primary practice location

625 Broadway St Ste 102
Alexandria, MN 56308-1664

Mailing address

625 Broadway St Ste 102
Alexandria, MN 56308-1664
Phone (320) 808-3070

Other identifiers 1

IdentifierTypeStateIssuer
1477830263MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230301001329 MN Part B Supplier - Clinic/Group Practice 8325411994 Receives reassigned benefits from 1 practitioner
Practice locations: Alexandria, MN

National Provider Directory

National Provider Directory

Locations

625 Broadway St
Ste 102
Alexandria, MN 56308
Phone (320) 808-3070

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": "1657324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700611200000",
    "number": "1194459834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 BROADWAY ST STE 102",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563081664",
            "telephone_number": "320-808-3070",
            "fax_number": "320-763-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 BROADWAY ST STE 102",
            "city": "ALEXANDRIA",
            "state": "MN",
            "postal_code": "563081664",
            "telephone_number": "320-808-3070",
            "fax_number": "320-763-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE HOPE COUNSELING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-09",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A",
        "authorized_official_last_name": "LICHTY",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "320-808-3070"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477830263",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.