NPIMap

Individual provider Active NPI

William Riley Hupp Jr., LISW

  • Clinical Social Worker
  • Maumee, OH
National Provider Identifier
1366740896
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
867 Issued in AK
Practice address
1910 Indian Wood Cir Ste 100
Maumee, OH 43537-4029
Phone
(419) 491-0420
Fax
(567) 698-7875
NPI assigned
Mar 8, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 867 AK Primary

Addresses

Primary practice location

1910 Indian Wood Cir Ste 100
Maumee, OH 43537-4029

Mailing address

PO Box 823
Perrysburg, OH 43552-0823
Phone (419) 491-0420

Other practice location 1

1627 Henthorne Dr Ste C
Maumee, OH 43537-1370
Phone (419) 491-0420

Other identifiers 1

IdentifierTypeStateIssuer
328261MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bill@anchoredinhopecounseling.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
867AKMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Anchored in Hope Counseling, LLC CurrentSince Jul 31, 2022 Accepting new patients
Southeast Alaska Regional Health Consortium Past Accepting new patients
Anchored in Hope Counseling, LLC Clinical PastSince Aug 8, 2021 Accepting new patients
Southeast Alaska Regional Health Consortium Past Accepting new patients

Locations

1627 Henthorne Dr
Ste C
Maumee, OH 43537
Phone (419) 491-0420

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1366740896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 823",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435520823",
            "telephone_number": "419-491-0420",
            "fax_number": "567-698-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 INDIAN WOOD CIR STE 100",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435374029",
            "telephone_number": "419-491-0420",
            "fax_number": "567-698-7875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1627 Henthorne Dr Ste C",
            "address_purpose": "LOCATION",
            "city": "Maumee",
            "state": "OH",
            "postal_code": "435371370",
            "country_code": "US",
            "telephone_number": "419-491-0420",
            "fax_number": "567-698-7875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUPP",
        "first_name": "WILLIAM",
        "middle_name": "RILEY",
        "name_suffix": "Jr.",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-08",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AK",
            "license": "867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "328261",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bill@anchoredinhopecounseling.org",
            "affiliation": "N",
            "address_1": "1910 Indian Wood Cir Ste 100",
            "city": "Maumee",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435374029",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.