Organization Active NPI

Hopeful Origins, LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Cumberland, MD
National Provider Identifier
1194495069
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
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

Updated by the provider on Jan 21, 2025

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)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
003978220MedicaidMD

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.