House of Hope, Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

HOUSE OF HOPE, INC.

Practice address

12 Civic Center Plaza, Suite 2116
Mankato, MN 56001

Phone

(507) 385-8774

Fax

(507) 345-1895

NPI assigned

Jul 11, 2005

Organization subpart

Yes

Parent organization

HOUSE OF HOPE, INC.As reported in NPPES

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

Authorized official

Name

Mark J Johnson

Title

President / Ceo

Phone

(507) 385-7611

Specialties & licenses 2

Addresses

Other identifiers 4

Other names 1

• Addiction Recovery Technologies, Inc. Former legal business name

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

House of Hope Inc

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tammy M Gagnon, MSW, LICSW

  • Clinical Social Worker
  • Mankato, MN
  • NPI 1013408681
  Medicare reassignment NPD
• Janell Christenson, RN - CNS

  • Addiction (Substance Use Disorder) Counselor
  • Mankato, MN
  • NPI 1376604942
  NPD
• Ann Marie Lacourse, BS, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Mankato, MN
  • NPI 1306775127
  NPD (past)
• Nicole Donnal Lewis, BS, LADC-S

  • Addiction (Substance Use Disorder) Counselor
  • Mankato, MN
  • NPI 1730018078
  NPD (past)
• Lauren Mareck

  • Addiction (Substance Use Disorder) Counselor
  • Mankato, MN
  • NPI 1245161652
  NPD (past)
• Kylee Rowen, LADC

  • Addiction (Substance Use Disorder) Counselor
  • Mankato, MN
  • NPI 1629909080
  NPD (past)
• Kara Ilene Will, BS, LADC-S

  • Addiction (Substance Use Disorder) Counselor
  • Mankato, MN
  • NPI 1386574564
  NPD (past)

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

{
    "created_epoch": "1121040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661299200000",
    "number": "1881692192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 291",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "56002",
            "telephone_number": "507-385-7600",
            "fax_number": "507-385-3929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CIVIC CENTER PLAZA, SUITE 2116",
            "city": "MANKATO",
            "state": "MN",
            "postal_code": "56001",
            "telephone_number": "507-385-8774",
            "fax_number": "507-345-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF HOPE, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOUSE OF HOPE, INC.",
        "enumeration_date": "2005-07-11",
        "last_updated": "2022-08-24",
        "certification_date": "2022-08-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT / CEO",
        "authorized_official_telephone_number": "507-385-7611"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "MN",
            "license": "811014-1OPCD",
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881692192",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE PROVIDER",
            "identifier": "121255",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8179AD",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAANES FACILITY CODE",
            "identifier": "07AFA",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Addiction Recovery Technologies, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Horizon Homes, Inc.
• Horizon Homes, Inc. (SCCC Mobile Crisis)
• Teanna Danielle Horn
• Billy Horton, MD
• Robert Houlihan, MD
• Allison Mae Howard
• Alison Maren Huber, PA-C
• Brandi Kay Hubner, RN
• Naomi Nya Hudson
• John R Hughes, MD

• Substance Use Disorder Rehabilitation Clinic/Center in Mankato, MN
• Providers in Mankato, MN by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.