Organization Active NPI

H.O.P.E. Family Support Services, Inc

  • Mental Health Counselor
  • Virginia Beach, VA
National Provider Identifier
1235646043
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
922994 Issued in VA
Legal business name
H.O.P.E. FAMILY SUPPORT SERVICES, INC
Practice address
291 Independence Blvd Ste 532
Virginia Beach, VA 23462-5473
Phone
(757) 962-6889
Fax
(757) 962-6889
NPI assigned
Jan 2, 2018
Last updated
Mar 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Kimberly PenertonNPI 1821505637
Title
LPC
Phone
(757) 962-6889

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
Mental Health Counselor 101YM0800X 922994 VA Primary

Addresses

Primary practice location

291 Independence Blvd Ste 532
Virginia Beach, VA 23462-5473

Mailing address

291 Independence Blvd Ste 532
Virginia Beach, VA 23462-5473
Phone (757) 962-6889

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240722003348 VA Part B Supplier - Clinic/Group Practice 7113463530 Receives reassigned benefits from 1 practitioner
Practice locations: Virginia Beach, VA

National Provider Directory

National Provider Directory

Locations

5900 E Virginia Beach Blvd
Ste 313
Norfolk, VA 23502

291 Independence Blvd
Ste 400
Virginia Beach, VA 23462
Phone (757) 962-6889

Practitioners & affiliated clinicians

Practitioners 8

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": "1514851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1235646043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 INDEPENDENCE BLVD STE 532",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625473",
            "telephone_number": "757-962-6889",
            "fax_number": "757-962-6889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 INDEPENDENCE BLVD STE 532",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234625473",
            "telephone_number": "757-962-6889",
            "fax_number": "757-962-6889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "H.O.P.E. FAMILY SUPPORT SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-02",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "PENERTON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "757-962-6889"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "922994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.