New Hope Counseling Service
Organization Active NPI Professional Counselor · Marengo, IL
NPI 1629529979 · NPPES record last updated Feb 27, 2024
Key facts
- NPI
- 1629529979
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- 180.009740 (IL)
- Legal business name
- NEW HOPE COUNSELING SERVICE
- Practice address
- 18718 Raven Hills Dr
Marengo, IL 60152-4301 - Phone
- (630) 945-8685
- NPI assigned
- Oct 21, 2016
- Organization subpart
- No
Authorized official
- Name
- Richard Damiani, LCPC
- Title
- President
- Phone
- (570) 479-2652
Practitioners 1
-
Richard Joseph Damiani, LCPC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240418004305 | IL | Part B Supplier - Clinic/Group Practice | 5890134167 |
Receives reassigned benefits from 1 practitioner Practice locations: Marengo, IL |
National Provider Directory
Locations
675 N North Ct
Ste 360
Palatine, IL 60067
Phone (847) 241-1875
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor |
101YP2500X | 180.009740 | IL | Yes |
Addresses
Primary practice location
18718 Raven Hills Dr
Marengo, IL 60152-4301
Mailing address
18718 Raven Hills Dr
Marengo, IL 60152-4301
Phone (630) 945-8685
Other providers in Marengo, IL
- Stacey Moorhouse
- Amber Mueller
- MWB Health Services Inc
- Rachel Narofsky
- Erika Nelson
- Jennifer J. Pagone
- Jainika Patel
- Neha Patel
- Liliana Paz
- Masha Pechenik
All providers in Marengo, IL · Professional Counselor in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.