Hope Revealed LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

4722 Issued in OK

Legal business name

HOPE REVEALED LLC

Practice address

2218 N Kickapoo Ave
Shawnee, OK 74804-2703

Phone

(405) 596-3833

NPI assigned

Jun 10, 2013

Organization subpart

No

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

Authorized official

Name

Serena Ward, M.ED., LPC

Title

Owner

Phone

(405) 596-3833

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1370822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370822400000",
    "number": "1801234042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2218 N KICKAPOO AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748042703",
            "telephone_number": "405-596-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2218 N KICKAPOO AVE",
            "city": "SHAWNEE",
            "state": "OK",
            "postal_code": "748042703",
            "telephone_number": "405-596-3833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE REVEALED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-10",
        "last_updated": "2013-06-10",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "SERENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "405-596-3833",
        "authorized_official_credential": "M.ED., LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "OK",
            "license": "4722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calee Ann Hollingsworth
• Duffie Holt
• Tyler Lee Holt
• Jeremy Patrick Holter, MD
• Hope Revealed Behavioral Health Center
• Hopkins Dental Clinic, P.L.L.C.
• Jon Eric Hopkins, D.D.S.
• Kristin Hopkins, BSW; BHCM II
• Lela Hopkins
• Terry W Hopkins, DDS

• Professional Counselor in Shawnee, OK
• Providers in Shawnee, OK by specialty
• Professional Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.