Organization Active NPI

Hope and Prosper

  • Mental Health Counselor
  • Homer Glen, IL
National Provider Identifier
1902670581
Registry record updated Nov 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Nov 14, 2023

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

Authorized official

Name
Dana Wick, LCPCNPI 1639636566
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20250916004063 IL Part B Supplier - Clinic/Group Practice 8224532916 Receives reassigned benefits from 1 practitioner
Practice locations: Homer Glen, IL

National Provider Directory

National Provider Directory

Practitioners & 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.

Verify at the official NPI Registry.