Hope Mental Wellness Services PLLC

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

HOPE MENTAL WELLNESS SERVICES PLLC

Practice address

4959 Sidney Rd SW Apt 206
Port Orchard, WA 98367-6015

Phone

(419) 234-1476

NPI assigned

Aug 11, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Kippy Sue Macklin, ARNP

Title

Psych Mental Health NP

Phone

(419) 234-1476

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1660176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1841928355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4959 SIDNEY RD SW APT 206",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983676015",
            "telephone_number": "419-234-1476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4959 SIDNEY RD SW APT 206",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983676015",
            "telephone_number": "419-234-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE MENTAL WELLNESS SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-11",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "MACKLIN",
        "authorized_official_first_name": "KIPPY",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "PSYCH MENTAL HEALTH NP",
        "authorized_official_telephone_number": "419-234-1476",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minh-Tuan Richard Hoang, M.D.
• Dristen Hollingshead
• Barbara Jean Holloway, PA-C
• Holt Chiropractic & Massage PS
• Thomas W. Holt, D.C.
• Trevor D. Hopkins, DPT
• Andrea L Hopper
• Anne Horsley, FNP
• Gretchen Renee' Hubbard, LMT
• Victoria Lindsey Hudson, LMHC, LPC

• Point of Service in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Point of Service in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.