Organization Active NPI

Start With Hope LLC

  • Clinical Social Worker
  • North Canton, OH
National Provider Identifier
1902678089
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
START WITH HOPE LLC
Practice address
1206 N Main St Ste 123
North Canton, OH 44720-1926
Phone
(234) 200-5780
NPI assigned
Oct 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Tracy With Hope Beresh, LISW-S
Title
Principal, Clinician
Phone
(234) 200-5780

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1206 N Main St Ste 123
North Canton, OH 44720-1926

Mailing address

PO Box 2101
North Canton, OH 44720-0101
Phone (234) 200-5780

Other identifiers 2

IdentifierTypeStateIssuer
0202744MedicaidOH
12385514OtherCAQH

National Provider Directory

National Provider Directory

Locations

1206 N Main St
Ste 123
North Canton, OH 44720
Phone (234) 200-5780

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": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1902678089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2101",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447200101",
            "telephone_number": "234-200-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 N MAIN ST STE 123",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447201926",
            "telephone_number": "234-200-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "START WITH HOPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "BERESH",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "WITH HOPE",
        "authorized_official_title_or_position": "PRINCIPAL, CLINICIAN",
        "authorized_official_telephone_number": "234-200-5780",
        "authorized_official_credential": "LISW-S"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0202744",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12385514",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Canton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.