NPIMap

Organization Active NPI

Hope Behavioral Health, LLC

  • Clinical Social Worker
  • Crescent Springs, KY
National Provider Identifier
1811548316
Registry record updated Feb 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HOPE BEHAVIORAL HEALTH, LLC
Practice address
541 Buttermilk Pike Ste 200
Crescent Springs, KY 41017-1696
Phone
(859) 869-2023
Fax
(561) 401-9196
NPI assigned
Sep 25, 2019
Last updated
Feb 6, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2024

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

Authorized official

Name
Lori Beth Mangan, LCSWNPI 1033623376
Title
Owner/President
Phone
(859) 869-2023

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X
Clinical Social Worker 1041C0700X Primary
Art Therapist 221700000X

Addresses

Primary practice location

541 Buttermilk Pike Ste 200
Crescent Springs, KY 41017-1696

Mailing address

103 Fox Meadow Run
Jupiter, FL 33458-5504
Phone (859) 250-6898

Other identifiers 1

IdentifierTypeStateIssuer
7100490670MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220125000828 KY Part B Supplier - Clinic/Group Practice 5890187850 Receives reassigned benefits from 9 practitioners
Practice locations: Crescent Springs, KY

National Provider Directory

National Provider Directory

Locations

541 Buttermilk Pike
Ste 200
Crescent Springs, KY 41017
Phone (859) 363-6034

8172 Mall Rd
Ste 224
Florence, KY 41042

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1811548316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 FOX MEADOW RUN",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334585504",
            "telephone_number": "859-250-6898",
            "fax_number": "561-401-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 BUTTERMILK PIKE STE 200",
            "city": "CRESCENT SPRINGS",
            "state": "KY",
            "postal_code": "410171696",
            "telephone_number": "859-869-2023",
            "fax_number": "561-401-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-25",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "MANGAN",
        "authorized_official_first_name": "LORI",
        "authorized_official_middle_name": "BETH",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "859-869-2023",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100490670",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crescent Springs, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; 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.