Organization Active NPI

Hope Counseling Services

  • Psychologist
  • Petaluma, CA
National Provider Identifier
1558473538
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
License
MFC2939 Issued in CA
Legal business name
HOPE COUNSELING SERVICES
Practice address
941 B Street
Petaluma, CA 94952
Phone
(707) 763-9484
Fax
(707) 763-8127
NPI assigned
Aug 31, 2006
Last updated
Jun 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Ms. Diane Elizabeth Richards-Olson
Title
Director
Phone
(707) 763-9484

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X MFC31829 CA
Psychologist 103T00000X MFC2939 CA Primary

Addresses

Primary practice location

941 B Street
Petaluma, CA 94952

Mailing address

PO Box 453
Petaluma, CA 94953
Phone (707) 763-9484

Other identifiers 3

IdentifierTypeStateIssuer
MFT04900POtherCABLUE SHIELD
WIMFT02939012OtherBLUE CROSS BLUE SHIELD
ZZZ91211ZOtherCABLUE CROSS

Other names 1

  • Faith-Hope Counseling Former legal business name

National Provider Directory

National Provider Directory

Locations

941 B St
Petaluma, CA 94952
Phone (707) 347-6629

Practitioners & affiliated clinicians

Practitioners 2

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": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1558473538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 453",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "94953",
            "telephone_number": "707-763-9484",
            "fax_number": "707-763-8127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 B STREET",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "94952",
            "telephone_number": "707-763-9484",
            "fax_number": "707-763-8127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "RICHARDS-OLSON",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "707-763-9484",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "MFC31829",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "MFC2939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "MFT04900P",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "WIMFT02939012",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "ZZZ91211Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Faith-Hope Counseling",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.