Active NPI
New Hope Clinic
- Mental Health Counselor
- Wallace, ID
National Provider Identifier
1598766347
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- NEW HOPE CLINIC
- Practice address
- 518 Bank St
Suite 200
Wallace, ID 83873-2225 - Phone
- (208) 556-0960
- Fax
- (208) 556-0970
- NPI assigned
- Aug 2, 2005
- Last updated
- Aug 22, 2020
- 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
- Mr. Errol Herman Arford, LCSW
- Title
- Owner Counselor
- Phone
- (208) 556-0960
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
518 Bank St
Suite 200
Wallace, ID 83873-2225
Mailing address
518 Bank St
Suite 200
Wallace, ID 83873-2225
Phone (208) 556-0960
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000010144544 | Other | ID | REGENCE |
National Provider Directory
National Provider DirectoryLocations
518 Bank St
#200
Wallace, ID 83873
Phone (208) 556-0960
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122940800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1598766347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 BANK ST",
"address_2": "SUITE 200",
"city": "WALLACE",
"state": "ID",
"postal_code": "838732225",
"telephone_number": "208-556-0960",
"fax_number": "208-556-0970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 BANK ST",
"address_2": "SUITE 200",
"city": "WALLACE",
"state": "ID",
"postal_code": "838732225",
"telephone_number": "208-556-0960",
"fax_number": "208-556-0970"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW HOPE CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2005-08-02",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "ARFORD",
"authorized_official_first_name": "ERROL",
"authorized_official_middle_name": "HERMAN",
"authorized_official_title_or_position": "OWNER COUNSELOR",
"authorized_official_telephone_number": "208-556-0960",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "REGENCE",
"identifier": "000010144544",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wallace, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.