NPIMap

Organization Active NPI

Hope Institute of America

Doing business as The Hope Insitute of CUSD

  • Mental Health Counselor
  • Perrysburg, OH
National Provider Identifier
1336822824
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
HOPE INSTITUTE OF AMERICA
Doing business as
The Hope Insitute of CUSD
The Hope Institute of Boulder
Practice address
1070 Commerce Dr
BLDG 1, Ste 101
Perrysburg, OH 43551-5231
Phone
(419) 482-8382
NPI assigned
Aug 10, 2023
Last updated
Aug 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Authorized official

Name
Dr. Derek J Lee, LPCC-SNPI 1356636070
Title
Ceo
Phone
(419) 290-4722

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

1070 Commerce Dr
BLDG 1, Ste 101
Perrysburg, OH 43551-5231

Mailing address

1070 Commerce Drive
Building One, Suite 101
Perrysburg, OH 43551-5231
Phone (419) 482-8382

Other practice location 1

1790 30th St Ste 350
Boulder, CO 80301-1071
Phone (419) 482-8382

Other practice location 2

1845 E Queen Creek Rd
Gilbert, AZ 85297-8401
Phone (480) 770-1773

Other names 3

  • The Hope Insitute of CUSD Doing business as
  • The Hope Institute of Boulder Doing business as
  • The Hope Institute of America, LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, AZ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240815004490 CO Part B Supplier - Clinic/Group Practice 0941748313 Receives reassigned benefits from 2 practitioners
Practice locations: Boulder, CO
O20240921000566 AZ Part B Supplier - Clinic/Group Practice 0941748313 Receives reassigned benefits from 1 practitioner
Practice locations: Gilbert, AZ

National Provider Directory

National Provider Directory
Tax ID family
Hope Institute of America2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1845 E Queen Creek Rd
Gilbert, AZ 85297
Phone (419) 482-8382

Practitioners & affiliated clinicians

Practitioners 36

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.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723507200000",
    "number": "1336822824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 COMMERCE DRIVE",
            "address_2": "BUILDING ONE, SUITE 101",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515231",
            "telephone_number": "419-482-8382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1070 COMMERCE DR",
            "address_2": "BLDG 1, STE 101",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435515231",
            "telephone_number": "419-482-8382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1790 30th St Ste 350",
            "address_purpose": "LOCATION",
            "city": "Boulder",
            "state": "CO",
            "postal_code": "803011071",
            "country_code": "US",
            "telephone_number": "419-482-8382",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1845 E Queen Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852978401",
            "country_code": "US",
            "telephone_number": "480-770-1773",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOPE INSTITUTE OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "DEREK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-290-4722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPCC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "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
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Hope Insitute of CUSD",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Hope Institute of Boulder",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Hope Institute of America, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Perrysburg, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.