Organization Active NPI

Hope

  • Community/Behavioral Health Agency
  • Lebanon, KY
National Provider Identifier
1356893630
Registry record updated Dec 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPCPCC00223155 Issued in KY
Legal business name
HOPE
Practice address
106 Cemetery Rd
Lebanon, KY 40033-1827
Phone
(270) 401-1104
NPI assigned
Nov 2, 2016
Last updated
Dec 17, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2020

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

Authorized official

Name
Tammy Lynn Mattingly, LPCCNPI 1063776037
Title
Owner
Phone
(270) 402-5601

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
Community Health Clinic/Center 261QC1500X NU
In Home Supportive Care Agency 253Z00000X KY
Community/Behavioral Health Agency 251S00000X LPCPCC00223155 KY Primary

Addresses

Primary practice location

106 Cemetery Rd
Lebanon, KY 40033-1827

Mailing address

106 Cemetery Rd
Lebanon, KY 40033-1827
Phone (270) 401-1104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201228001722 KY Part B Supplier - Clinic/Group Practice 6305259912 Receives reassigned benefits from 4 practitioners
Practice locations: Lebanon, KY

National Provider Directory

National Provider Directory

Locations

106 Cemetery Rd
Lebanon, KY 40033
Phone (270) 321-4198

317 Koehler Dr
Lebanon, KY 40033
Phone (270) 321-4198

709 E Main St
Unit 3
Lebanon, KY 40033

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1356893630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 CEMETERY RD",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331827",
            "telephone_number": "270-401-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 CEMETERY RD",
            "city": "LEBANON",
            "state": "KY",
            "postal_code": "400331827",
            "telephone_number": "270-401-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-02",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "MATTINGLY",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-402-5601",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "KY",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "KY",
            "license": "LPCPCC00223155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2020; 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.