Organization Active NPI

Patchwork Hope LLC

  • Professional Counselor
  • Winslow, AZ
National Provider Identifier
1205601564
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
PATCHWORK HOPE LLC
Practice address
409 N Cottonwood Ave
Winslow, AZ 86047-4017
Phone
(928) 587-5462
NPI assigned
Nov 16, 2023
Last updated
Nov 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Authorized official

Name
Ms. Brenda Faye Manthei, LPC
Title
Owner
Phone
(928) 587-5462

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

409 N Cottonwood Ave
Winslow, AZ 86047-4017

Mailing address

409 N Cottonwood Ave
Winslow, AZ 86047-4017
Phone (928) 587-5462

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1700092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700092800000",
    "number": "1205601564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 N COTTONWOOD AVE",
            "city": "WINSLOW",
            "state": "AZ",
            "postal_code": "860474017",
            "telephone_number": "928-587-5462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 N COTTONWOOD AVE",
            "city": "WINSLOW",
            "state": "AZ",
            "postal_code": "860474017",
            "telephone_number": "928-587-5462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATCHWORK HOPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-16",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A",
        "authorized_official_last_name": "MANTHEI",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-587-5462",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winslow, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2023; 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.