Grace to Hope Counseling Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GRACE TO HOPE COUNSELING SERVICES LLC

Practice address

79030 Freeport Tippecanoe Rd Suite a
Tippecanoe, OH 44699

Phone

(330) 440-8882

NPI assigned

Jan 27, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Michele Renee Basiletti, LPCC LICDCNPI 1770071623

Title

Owner/Provider

Phone

(330) 440-8882

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 1

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

• Michele R Basiletti, LICDC LPCC-S

  • Professional Counselor
  • Uhrichsville, OH
  • NPI 1770071623

  Multi-Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684368000000",
    "number": "1891386405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28000 MAYS SCHOOL RD",
            "city": "TIPPECANOE",
            "state": "OH",
            "postal_code": "446999449",
            "telephone_number": "133-044-0259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79030 FREEPORT TIPPECANOE RD SUITE A",
            "city": "TIPPECANOE",
            "state": "OH",
            "postal_code": "44699",
            "telephone_number": "330-440-8882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE TO HOPE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A",
        "authorized_official_last_name": "BASILETTI",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "330-440-8882",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPCC LICDC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770071623",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carol J McMillen
• Leanna McMillen
• Jessica Thomas, R.N

• Mental Health Counselor in Tippecanoe, OH
• Providers in Tippecanoe, OH by specialty
• Mental Health Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.