Active NPI
Hope Counseling and Consulting LLC
- Clinical Psychologist
- Fairbanks, AK
National Provider Identifier
1578046322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- Legal business name
- HOPE COUNSELING AND CONSULTING LLC
- Practice address
- 926 Aspen St
Fairbanks, AK 99709-5501 - Phone
- (907) 451-8208
- NPI assigned
- Sep 7, 2018
- 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
- John Deruyter
- Title
- President
- Phone
- (907) 451-8208
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Psychologist | 103TC0700X | Primary | ||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
926 Aspen St
Fairbanks, AK 99709-5501
Mailing address
PO Box 73536
Fairbanks, AK 99707-3536
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1536278400000",
"number": "1578046322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 73536",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997073536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "926 ASPEN ST",
"city": "FAIRBANKS",
"state": "AK",
"postal_code": "997095501",
"telephone_number": "907-451-8208"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE COUNSELING AND CONSULTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-09-07",
"last_updated": "2018-09-07",
"status": "A",
"authorized_official_last_name": "DERUYTER",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "907-451-8208"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairbanks, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.