Organization Active NPI

Hope Youth Services, Inc

  • Mental Health Counselor
  • Roswell, NM
National Provider Identifier
1285735225
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HOPE YOUTH SERVICES, INC
Practice address
200 W 1St St
Suite 625
Roswell, NM 88203-4668
Phone
(505) 625-6909
Fax
(505) 625-9442
NPI assigned
Sep 25, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Lauri R Foster
Title
Business Administrator
Phone
(505) 625-6909

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

200 W 1St St
Suite 625
Roswell, NM 88203-4668

Mailing address

200 W 1St St
Suite 625
Roswell, NM 88203-4668
Phone (505) 625-6909

Other identifiers 1

IdentifierTypeStateIssuer
58388354MedicaidNM

National Provider Directory

National Provider Directory

Locations

200 W 1st St
Ste 625
Roswell, NM 88203
Phone (505) 625-6909

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285735225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 1ST ST",
            "address_2": "SUITE 625",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882034668",
            "telephone_number": "505-625-6909",
            "fax_number": "505-625-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 1ST ST",
            "address_2": "SUITE 625",
            "city": "ROSWELL",
            "state": "NM",
            "postal_code": "882034668",
            "telephone_number": "505-625-6909",
            "fax_number": "505-625-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE YOUTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "LAURI",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "BUSINESS ADMINISTRATOR",
        "authorized_official_telephone_number": "505-625-6909",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58388354",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.