Organization Active NPI

Spring of Hope Counseling PLLC

  • Professional Counselor
  • Bloomington, IL
National Provider Identifier
1316687692
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SPRING OF HOPE COUNSELING PLLC
Practice address
2416 E Washington St Ste C5
Bloomington, IL 61704-1629
Phone
(309) 533-9015
NPI assigned
Apr 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Crystal Hiser, LCPC, LMFTNPI 1104904242
Title
Owner
Phone
(309) 533-9015

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
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

2416 E Washington St Ste C5
Bloomington, IL 61704-1629

Mailing address

2416 E Washington St Ste C5
Bloomington, IL 61704-1629
Phone (309) 533-9015

National Provider Directory

National Provider Directory

Locations

601 E Main St
Ste 209
Mahomet, IL 61853

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": "1648771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1316687692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 E WASHINGTON ST STE C5",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617041629",
            "telephone_number": "309-533-9015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 E WASHINGTON ST STE C5",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617041629",
            "telephone_number": "309-533-9015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRING OF HOPE COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-01",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A",
        "authorized_official_last_name": "HISER",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-533-9015",
        "authorized_official_credential": "LCPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.