Hope Behavioral Services at the Jeannine Brent Center Incorporated

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

HOPE BEHAVIORAL SERVICES AT THE JEANNINE BRENT CENTER INCORPORATED

Practice address

2319 Plainfield Rd
Crest Hill, IL 60403-1875

Phone

(815) 260-7203

Fax

(844) 270-2128

NPI assigned

Nov 6, 2018

Organization subpart

No

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

Authorized official

Name

Beth Marie Hawkins, LCSW, CAADCNPI 1487211074

Title

President

Phone

(815) 260-7203

Specialties & licenses 1

Addresses

Other names 1

• Hope Behavioral Services Incorporated Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Beth Marie Hawkins, LCSW,MAC,CAADC,CCJP

  • Clinical Social Worker
  • Crest Hill, IL
  • NPI 1487211074
  NPD Authorized official

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1457829632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2319 PLAINFIELD RD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604031875",
            "telephone_number": "815-260-7203",
            "fax_number": "844-270-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2319 PLAINFIELD RD",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604031875",
            "telephone_number": "815-260-7203",
            "fax_number": "844-270-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE BEHAVIORAL SERVICES AT THE JEANNINE BRENT CENTER INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-06",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-260-7203",
        "authorized_official_credential": "LCSW, CAADC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hope Behavioral Services Incorporated",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Beth Marie Hawkins, LCSW,MAC,CAADC,CCJP
• Helene Doss
• Melissa Marie Higgenbotham, LPN
• Homebase Health Corp
• Nicole Hooten
• Michelle L Horvath, PA-C
• Teneshia Monique Hudson, BSN,RN
• Eman Ibrahim
• Ibsen LLC
• Ibsen, LLC

• Substance Abuse Rehabilitation Facility in Crest Hill, IL
• Providers in Crest Hill, IL by specialty
• Substance Abuse Rehabilitation Facility in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; 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.