Organization Active NPI

Hope Counseling and Behavioral Services LLC

  • Clinical Social Worker
  • Gilbert, PA
National Provider Identifier
1821498403
Registry record updated Oct 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW013229 Issued in PA
Legal business name
HOPE COUNSELING AND BEHAVIORAL SERVICES LLC
Practice address
1023 Interchange Rd
Gilbert, PA 18331-0279
Phone
(570) 402-1006
Fax
(610) 681-8275
NPI assigned
Sep 2, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2015

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

Authorized official

Name
Ana Mercedes Velez, MSW LCSW BCD
Title
Founder
Phone
(570) 402-1006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X CW013229 PA Primary

Addresses

Primary practice location

1023 Interchange Rd
Gilbert, PA 18331-0279

Mailing address

PO Box 279
Gilbert, PA 18331-0279
Phone (570) 402-1006

Other identifiers 2

IdentifierTypeStateIssuer
1011203100003MedicaidPA
083979OtherPAMEDICARE PTAN

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444694400000",
    "number": "1821498403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 279",
            "city": "GILBERT",
            "state": "PA",
            "postal_code": "183310279",
            "telephone_number": "570-402-1006",
            "fax_number": "610-681-8275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1023 INTERCHANGE RD",
            "city": "GILBERT",
            "state": "PA",
            "postal_code": "183310279",
            "telephone_number": "570-402-1006",
            "fax_number": "610-681-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE COUNSELING AND BEHAVIORAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-02",
        "last_updated": "2015-10-13",
        "status": "A",
        "authorized_official_last_name": "VELEZ",
        "authorized_official_first_name": "ANA",
        "authorized_official_middle_name": "MERCEDES",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "570-402-1006",
        "authorized_official_credential": "MSW LCSW BCD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW013229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011203100003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "083979",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gilbert, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.