Hopelife Behavioral & Wellness Services LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

HOPELIFE BEHAVIORAL & WELLNESS SERVICES LLC

Practice address

360 Bloomfield Ave Ste 301
Windsor, CT 06095-2700

Phone

(860) 607-3244

NPI assigned

Dec 8, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Latonya Sheriee King, PMHNP-BCNPI 1023579885

Title

Owner/Nurse Practitioner

Phone

(860) 471-3610

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 3

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

• Latonya Sheriee King, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Avon, CT
  • NPI 1023579885
  Medicare reassignment NPD Authorized official
• Maria Amour Jefferson, MS

  • Mental Health Counselor
  • Windsor, CT
  • NPI 1427596659
  Medicare reassignment NPD
• Onojeta Eseoghene Ohwevwo, APRN-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
  • NPI 1023360377

  CT

  Medicare reassignment NPD

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

{
    "created_epoch": "1575763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575763200000",
    "number": "1578100673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 BLOOMFIELD AVE STE 301",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952700",
            "telephone_number": "860-607-3244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 BLOOMFIELD AVE STE 301",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952700",
            "telephone_number": "860-607-3244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPELIFE BEHAVIORAL & WELLNESS SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-08",
        "last_updated": "2019-12-08",
        "certification_date": "2019-12-08",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "LATONYA",
        "authorized_official_middle_name": "SHERIEE",
        "authorized_official_title_or_position": "OWNER/NURSE PRACTITIONER",
        "authorized_official_telephone_number": "860-471-3610",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "l.king@hopelifebehavioralwellness.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "360 Bloomfield Ave Ste 301",
            "city": "Windsor",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060952700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vincent Hollister, MSW
• Fallon F Holloway
• Jahshua Holmes
• Hope Alive Home Care and Companion LLC
• Hope and Healing Counseling CT
• Lucy Jane Hopping
• Horizon Behavioral Health LLC
• Linda Horn
• Suki Hosein-Hauswirth
• Samantha Howard, M.A, L.P.C.

• Psychiatric/Mental Health Nurse Practitioner in Windsor, CT
• Providers in Windsor, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.