NPIMap

Organization Active NPI

Hope and Healing Wellness Services, LLC

  • Adult Mental Health Clinic/Center
  • Matteson, IL
National Provider Identifier
1831785054
Registry record updated Dec 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
HOPE AND HEALING WELLNESS SERVICES, LLC
Doing business as
HOPE and Healing Wellness Services, LLC
Practice address
21309 Gray Hawk Dr
Matteson, IL 60443-3345
Phone
(773) 841-4368
NPI assigned
Dec 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2020

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

Authorized official

Name
Tiffany T Jones, LPC, ED.D.NPI 1790371987
Title
Ceo
Phone
(773) 841-4368

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

21309 Gray Hawk Dr
Matteson, IL 60443-3345

Mailing address

21309 Gray Hawk Dr
Matteson, IL 60443-3345
Phone (773) 841-4368

Other names 1

  • HOPE and Healing Wellness Services, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607817600000",
    "number": "1831785054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21309 GRAY HAWK DR",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433345",
            "telephone_number": "773-841-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21309 GRAY HAWK DR",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433345",
            "telephone_number": "773-841-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE AND HEALING WELLNESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-13",
        "last_updated": "2020-12-13",
        "certification_date": "2020-12-13",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "773-841-4368",
        "authorized_official_credential": "LPC, ED.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HOPE and Healing Wellness Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Matteson, IL

Sources for this page

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

Verify at the official NPI Registry.