Organization Active NPI

Hope and Healing Behavioral Health PLLC

  • Clinical Social Worker
  • Decatur, IL
National Provider Identifier
1255043410
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HOPE AND HEALING BEHAVIORAL HEALTH PLLC
Practice address
5130 Hickory Point Frontage Rd Ste 230
Decatur, IL 62526-9773
Phone
(217) 207-0041
Fax
(217) 207-0042
NPI assigned
Dec 20, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Authorized official

Name
Jennifer Zerfowski, LCSWNPI 1720228919
Title
Practice Owner
Phone
(217) 207-0041

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5130 Hickory Point Frontage Rd Ste 230
Decatur, IL 62526-9773

Mailing address

1135 Rosewood Dr
Mount Zion, IL 62549-1046
Phone (217) 207-0041

Other practice location 1

1135 Rosewood Dr
Mount Zion, IL 62549-1046
Phone (217) 207-0041

National Provider Directory

National Provider Directory

Locations

5130 Hickory Point Frontage Rd
Ste 230
Decatur, IL 62526
Phone (217) 207-0041

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": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1255043410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 ROSEWOOD DR",
            "city": "MOUNT ZION",
            "state": "IL",
            "postal_code": "625491046",
            "telephone_number": "217-207-0041",
            "fax_number": "217-207-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 HICKORY POINT FRONTAGE RD STE 230",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625269773",
            "telephone_number": "217-207-0041",
            "fax_number": "217-207-0042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1135 Rosewood Dr",
            "address_purpose": "LOCATION",
            "city": "Mount Zion",
            "state": "IL",
            "postal_code": "625491046",
            "country_code": "US",
            "telephone_number": "217-207-0041",
            "fax_number": "217-207-0042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOPE AND HEALING BEHAVIORAL HEALTH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "ZERFOWSKI",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "217-207-0041",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.