Active NPI
Hope Counseling Services
- Psychologist
- Petaluma, CA
National Provider Identifier
1558473538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- MFC2939
- 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, 2008
- 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
- Ms. Diane Elizabeth Richards-Olson
- Title
- Director
- Phone
- (707) 763-9484
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MFT04900P | Other | CA | BLUE SHIELD |
| WIMFT02939012 | Other | BLUE CROSS BLUE SHIELD | |
| ZZZ91211Z | Other | CA | BLUE CROSS |
Other names 1
- Faith-Hope Counseling
National Provider Directory
National Provider DirectoryLocations
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.
-
- Marriage & Family Therapist
- Petaluma, CA
- NPI 1669259727
-
- Clinical Social Worker
- Petaluma, CA
- NPI 1164711404
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.