Active NPI
Hope and Prosper
- Mental Health Counselor
- Homer Glen, IL
National Provider Identifier
1902670581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- HOPE AND PROSPER
- Practice address
- 15915 S Crystal Creek Dr Ste E
Homer Glen, IL 60491-9381 - Phone
- (708) 288-4057
- NPI assigned
- Nov 14, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dana Wick, LCPC
- Title
- LCPC
- Phone
- (708) 288-4057
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
15915 S Crystal Creek Dr Ste E
Homer Glen, IL 60491-9381
Mailing address
14928 Kilbourne Ave
Midlothian, IL 60445-3234
Phone (708) 288-4057
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1699920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699920000000",
"number": "1902670581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14928 KILBOURNE AVE",
"city": "MIDLOTHIAN",
"state": "IL",
"postal_code": "604453234",
"telephone_number": "708-288-4057"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15915 S CRYSTAL CREEK DR STE E",
"city": "HOMER GLEN",
"state": "IL",
"postal_code": "604919381",
"telephone_number": "708-288-4057"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE AND PROSPER",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-14",
"last_updated": "2023-11-14",
"certification_date": "2023-11-14",
"status": "A",
"authorized_official_last_name": "WICK",
"authorized_official_first_name": "DANA",
"authorized_official_title_or_position": "LCPC",
"authorized_official_telephone_number": "708-288-4057",
"authorized_official_credential": "LCPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Homer Glen, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.