Active NPI
Elements of Hope and Healing
- Professional Counselor
- Cottage Grove, OR
National Provider Identifier
1255014312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- ELEMENTS OF HOPE AND HEALING
- Practice address
- 22 N 8TH St
Cottage Grove, OR 97424-2025 - Phone
- (541) 270-0434
- NPI assigned
- Aug 7, 2023
- 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
- Brenda Hanson Thielman, LPC
- Title
- Ceo / Founder
- Phone
- (541) 270-0434
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | Primary | ||
| Early Intervention Provider Agency | 252Y00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
22 N 8TH St
Cottage Grove, OR 97424-2025
Mailing address
34392 Garoutte Rd
Cottage Grove, OR 97424-8538
Phone (541) 270-0434
National Provider Directory
National Provider DirectoryLocations
22 N 8th St
Cottage Grove, OR 97424
Phone (541) 270-0434
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Professional Counselor
- Roseburg, OR
- NPI 1942639323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691366400000",
"number": "1255014312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34392 GAROUTTE RD",
"city": "COTTAGE GROVE",
"state": "OR",
"postal_code": "974248538",
"telephone_number": "541-270-0434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 N 8TH ST",
"city": "COTTAGE GROVE",
"state": "OR",
"postal_code": "974242025",
"telephone_number": "541-270-0434"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ELEMENTS OF HOPE AND HEALING",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-07",
"last_updated": "2023-08-07",
"certification_date": "2023-08-03",
"status": "A",
"authorized_official_last_name": "HANSON THIELMAN",
"authorized_official_first_name": "BRENDA",
"authorized_official_title_or_position": "CEO / FOUNDER",
"authorized_official_telephone_number": "541-270-0434",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "252Y00000X",
"taxonomy_group": "",
"desc": "Early Intervention Provider Agency",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0855X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adolescent and Children Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cottage Grove, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.