Active NPI
Hopes Bridge of Fort Smith Inc
- Clinical Social Worker
- Fort Smith, AR
National Provider Identifier
1417701764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- HOPES BRIDGE OF FORT SMITH INC
- Practice address
- 4109 N 55TH St
Fort Smith, AR 72904-2613 - Phone
- (479) 974-1001
- NPI assigned
- Apr 15, 2024
- 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
- Austin Lee Coats, CIT, RDS, PIT
- Title
- Director
- Phone
- (479) 974-1001
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 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | |||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | Primary | ||
| Case Manager/Care Coordinator | 171M00000X | |||
| Peer Specialist | 175T00000X |
Addresses
Primary practice location
4109 N 55TH St
Fort Smith, AR 72904-2613
Mailing address
204 Lakeview CT
Fort Smith, AR 72903-2136
Phone (479) 974-1001
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Counselor
- Fort Smith, AR
- NPI 1801422118
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713139200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713225600000",
"number": "1417701764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 LAKEVIEW CT",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729032136",
"telephone_number": "479-974-1001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4109 N 55TH ST",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729042613",
"telephone_number": "479-974-1001"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPES BRIDGE OF FORT SMITH INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-15",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A",
"authorized_official_last_name": "COATS",
"authorized_official_first_name": "AUSTIN",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "479-974-1001",
"authorized_official_credential": "CIT, RDS, PIT"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.