Hope in Healing

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

HOPE IN HEALING

Practice address

607 W Due West Ave Ste 106
Madison, TN 37115-4420

Phone

(615) 964-7113

Fax

(615) 928-8482

NPI assigned

Jun 4, 2014

Organization subpart

No

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

Authorized official

Name

Tristan K Petty, LPC/MHSPNPI 1659782647

Title

Owner

Phone

(615) 964-7113

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tristan K Petty, LPC/MHSP

  • Professional Counselor
  • Madison, TN
  • NPI 1659782647
  NPD Authorized official

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1285047530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "607 W DUE WEST AVE STE 106",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154420",
            "telephone_number": "615-964-7113",
            "fax_number": "888-872-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "607 W DUE WEST AVE STE 106",
            "city": "MADISON",
            "state": "TN",
            "postal_code": "371154420",
            "telephone_number": "615-964-7113",
            "fax_number": "615-928-8482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE IN HEALING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-04",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "PETTY",
        "authorized_official_first_name": "TRISTAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-964-7113",
        "authorized_official_credential": "LPC/MHSP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q005513",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lester Grant Holman
• Laura R Holt, APN
• Elizabeth Holtz, CRNA
• Elizabeth Kaoru Hooker
• Hope Alive Centers PLLC
• Melissa Hopgood
• Andrea Renea Hopwood
• Regan Horan, MS CCC-SLP
• Ashley Howard-Smith
• Barbara J Howard

• Professional Counselor in Madison, TN
• Providers in Madison, TN by specialty
• Professional Counselor in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.