Active NPI
Faith, Hope & Healing
- Professional Counselor
- Beaverton, OR
National Provider Identifier
1417607912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- FAITH, HOPE & HEALING
- Practice address
- 17933 NW Evergreen PL Ste 111
Beaverton, OR 97006-7531 - Phone
- (814) 243-0414
- Fax
- (814) 479-5906
- NPI assigned
- Mar 27, 2022
- Last updated
- May 18, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Patricia Griesheimer, CBCS
- Title
- Coo
- Phone
- (814) 243-0414
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary | ||
| Case Management Agency | 251B00000X | |||
| Nursing Care Agency | 251J00000X | |||
| Clinic/Center | 261Q00000X | |||
| Community/Behavioral Health Agency | 251S00000X |
Addresses
Primary practice location
17933 NW Evergreen PL Ste 111
Beaverton, OR 97006-7531
Mailing address
3159 Carpenters Park Rd
Davidsville, PA 15928-9223
Phone (814) 243-0414
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9999999999999 | Medicaid | TX | |
| 9999999999999 | Medicaid | PA | |
| 500805656 | Medicaid | OR | |
| 9999999999999 | Medicaid | OH |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.faithhopehealing.com | Direct |
National Provider Directory
National Provider DirectoryLocations
4031 Colonel Glenn Hwy
Ste 450
Beavercreek Township, OH 45431
Phone (937) 637-3776
17933 NW Evergreen Pl
Ste 111
Beaverton, OR 97006
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Clinical Social Worker
- Portland, OR
- NPI 1235862806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1652832000000",
"number": "1417607912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3159 CARPENTERS PARK RD",
"city": "DAVIDSVILLE",
"state": "PA",
"postal_code": "159289223",
"telephone_number": "814-243-0414",
"fax_number": "814-479-5906"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17933 NW EVERGREEN PL STE 111",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970067531",
"telephone_number": "814-243-0414",
"fax_number": "814-479-5906"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAITH, HOPE & HEALING",
"organizational_subpart": "NO",
"enumeration_date": "2022-03-27",
"last_updated": "2022-05-18",
"certification_date": "2022-05-18",
"status": "A",
"authorized_official_last_name": "GRIESHEIMER",
"authorized_official_first_name": "PATRICIA",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "814-243-0414",
"authorized_official_credential": "CBCS"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251J00000X",
"taxonomy_group": "",
"desc": "Nursing Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9999999999999",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9999999999999",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500805656",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9999999999999",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.faithhopehealing.com",
"affiliation": "N",
"endpointDescription": "web",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4031 Colonel Glenn Hwy Ste 450",
"city": "Beavercreek Township",
"state": "OH",
"country_code": "US",
"postal_code": "454312700",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Beaverton, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.