Oasis of Hope Therapy LLC

Key facts

NPI

1831857945

Entity type

Organization (NPI type 2)

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Legal business name

OASIS OF HOPE THERAPY LLC

Practice address

260 S Marion Ave Ste 135
Lake City, FL 32025-7000

Phone

(386) 697-8842

NPI assigned

Dec 6, 2021

Organization subpart

No

Authorized official

Name

Josey S Corbett, LCSW NPI 1386181535

Title

Ceo

Phone

(386) 697-8842

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

Practitioners 10

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

• Josey S Corbett, LCSW Clinical Social Worker · Lake City, FL · NPI 1386181535
  Medicare reassignment Care Compare group NPD Authorized official FL
• Sandra Caserta, LCSW Clinical Social Worker · Lake City, FL · NPI 1700525425
  Medicare reassignment Care Compare group NPD FL
• Diana Cherry Mental Health Counselor · Lake City, FL · NPI 1932794450
  Medicare reassignment Care Compare group NPD FL
• David Leland Patrick, L.C.S.W. Clinical Social Worker · Lake City, FL · NPI 1679935126
  Medicare reassignment Care Compare group NPD FL
• Carolyn Diane Schulze, LCSW Clinical Social Worker · Lake City, FL · NPI 1609344589
  Medicare reassignment Care Compare group NPD FL
• Kimberly A Hunt, LMHC Mental Health Counselor · Lake City, FL · NPI 1043000177
  Medicare reassignment NPD FL
• Decarlos Kouvaris Scippio, LCSW Clinical Social Worker · Lake City, FL · NPI 1093186777
  Medicare reassignment NPD FL
• Priscilla Smart-Thomas, LMHC Mental Health Counselor · Lakeland, FL · NPI 1518126762
  Medicare reassignment NPD FL
• Sunday Wilson, M.S Addiction (Substance Use Disorder) Counselor · Lake City, FL · NPI 1144463589
  Medicare reassignment NPD FL
• Shatouria McClellan Wright Clinical Social Worker · White Springs, FL · NPI 1770298770
  NPD SINGLE SPECIALTY

Medicare participation

Medicare fee-for-service enrollment

Enrolled in FL

Medicare enrollment records

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 26, 2024.

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727308800000",
    "number": "1831857945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3394",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320563394",
            "telephone_number": "386-697-8842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S MARION AVE STE 135",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320257000",
            "telephone_number": "386-697-8842"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1476 SW Walter Ave # L-103",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320247916",
            "country_code": "US",
            "telephone_number": "386-697-8842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 Piedmont St SE",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "FL",
            "postal_code": "320643230",
            "country_code": "US",
            "telephone_number": "386-697-8842",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OASIS OF HOPE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A",
        "authorized_official_last_name": "CORBETT",
        "authorized_official_first_name": "JOSEY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "386-697-8842",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116149000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

• Rebecca Blue O'Connell, PHARMD
• Michael O'Rourke, PHARM D
• Christine O'Steen, LCSW
• Stephen Lewis O'Steen, PTA
• Daniel Oakley, N.D., DNH
• John P Odonnell, PA-C
• Allison Morgan Ogburn
• Renee Olson
• Adetokunbo Oluwasanjo, MD
• Omni Home Health Hernando, LLC

All providers in Lake City, FL · Mental Health Clinic/Center (Including Community Mental Health Center) in Florida