Hope Counseling Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

37PC000452300 Issued in NJ

Legal business name

HOPE COUNSELING SERVICES, LLC

Practice address

171 Main St
Suite 202
Matawan, NJ 07747-3186

Phone

(732) 765-1100

NPI assigned

Oct 3, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Nicole Drake, LPC, LCADC, ACS

Title

Ceo

Phone

(732) 765-1100

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1475452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475452800000",
    "number": "1356890230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 MAIN ST",
            "address_2": "SUITE 202",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473186",
            "telephone_number": "732-765-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 MAIN ST",
            "address_2": "SUITE 202",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077473186",
            "telephone_number": "732-765-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-03",
        "last_updated": "2016-10-03",
        "status": "A",
        "authorized_official_last_name": "DRAKE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "732-765-1100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, LCADC, ACS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NJ",
            "license": "37PC000452300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Matawan, NJ
• Providers in Matawan, NJ by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2016; 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.