Hope Mental Health Services, LLC

Primary specialty

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

Legal business name

HOPE MENTAL HEALTH SERVICES, LLC

Practice address

870 Alder Street
Elgin, OR 97827

Phone

(541) 624-3117

Fax

(541) 605-5361

NPI assigned

Jul 26, 2021

Last updated

Jul 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Connie Marie Carter, PMHNP

Title

Psych NP/Owner

Phone

(541) 624-3117

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1627257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627257600000",
    "number": "1851064034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 614",
            "city": "ELGIN",
            "state": "OR",
            "postal_code": "978270614",
            "telephone_number": "541-624-3117",
            "fax_number": "541-605-5361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 ALDER STREET",
            "city": "ELGIN",
            "state": "OR",
            "postal_code": "97827",
            "telephone_number": "541-624-3117",
            "fax_number": "541-605-5361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE MENTAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-26",
        "last_updated": "2021-07-26",
        "certification_date": "2021-06-28",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PSYCH NP/OWNER",
        "authorized_official_telephone_number": "541-624-3117",
        "authorized_official_credential": "PMHNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ccarter@eoni.com",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "encrypted email",
            "address_1": "870 Alder Street",
            "city": "Elgin",
            "state": "OR",
            "country_code": "US",
            "postal_code": "97827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ashley Nicole Gibbs, FNP-C
• Grande Ronde Hospital, Inc (Grande Ronde Hospital Elgin Clinic)
• Grande Ronde Hospital, Inc (Grande Ronde Hospital Elgin Clinic)
• Kali Gray, D.M.D.
• Jamie Jo Haddock, NP-C
• Julia Lee Jones, RPH
• South County Health District (Elgin Family Health Clinic)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Elgin, OR
• Providers in Elgin, OR by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2021; 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.