Organization Active NPI

Fountain of Hope Counseling Inc

  • Mental Health Counselor
  • Sierra Vista, AZ
National Provider Identifier
1245998012
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FOUNTAIN OF HOPE COUNSELING INC
Practice address
2151 S Highway 92 Ste 104
Sierra Vista, AZ 85635-5283
Phone
(520) 266-1819
NPI assigned
Nov 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Authorized official

Name
Brenda R ParkerNPI 1790438760
Title
Executive Director/Counselor
Phone
(520) 266-1819

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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2151 S Highway 92 Ste 104
Sierra Vista, AZ 85635-5283

Mailing address

2151 S Highway 92 Ste 104
Sierra Vista, AZ 85635-5283
Phone (520) 266-1819

Other identifiers 1

IdentifierTypeStateIssuer
1790438760MedicaidAZ

Other names 1

  • Fountain of Hope Counseling Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address billing@fountainofhopecounseling.org Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

2151 S Highway 92
Ste 104
Sierra Vista, AZ 85635

100 S 7th St
Sierra Vista, AZ 85635
Phone (520) 216-6008

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": "1638144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748390400000",
    "number": "1245998012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 S HIGHWAY 92 STE 104",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856355283",
            "telephone_number": "520-266-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 S HIGHWAY 92 STE 104",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856355283",
            "telephone_number": "520-266-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNTAIN OF HOPE COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-29",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/COUNSELOR",
        "authorized_official_telephone_number": "520-266-1819"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790438760",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billing@fountainofhopecounseling.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2151 S Highway 92 Ste 104",
            "city": "Sierra Vista",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "856355283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Fountain of Hope Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fountain of Hope Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sierra Vista, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.