Active NPI
Hopeful Origins, LLC
- Psychiatric/Mental Health Nurse Practitioner
- Cumberland, MD
National Provider Identifier
1194495069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- HOPEFUL ORIGINS, LLC
- Practice address
- 31 Baltimore St Ste 111
Cumberland, MD 21502-3091 - Phone
- (410) 420-8300
- Fax
- (443) 267-0020
- NPI assigned
- Sep 14, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nadia M Swanson
- Title
- Owner/Provider
- Phone
- (410) 420-8300
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
31 Baltimore St Ste 111
Cumberland, MD 21502-3091
Mailing address
PO Box 11
Abingdon, MD 21009-0011
Phone (410) 420-8300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003978220 | Medicaid | MD |
National Provider Directory
National Provider DirectoryLocations
1701 K St NW
Ste 900
Washington, DC 20006
Phone (202) 495-0721
103 Southern Oaks Dr
Plant City, FL 33563
Phone (800) 457-5020
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1737417600000",
"number": "1194495069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11",
"city": "ABINGDON",
"state": "MD",
"postal_code": "210090011",
"telephone_number": "410-420-8300",
"fax_number": "443-267-0020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 BALTIMORE ST STE 111",
"city": "CUMBERLAND",
"state": "MD",
"postal_code": "215023091",
"telephone_number": "410-420-8300",
"fax_number": "443-267-0020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPEFUL ORIGINS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-09-14",
"last_updated": "2025-01-21",
"certification_date": "2025-01-21",
"status": "A",
"authorized_official_last_name": "SWANSON",
"authorized_official_first_name": "NADIA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "410-420-8300"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003978220",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cumberland, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.