Organization Active NPI

Spirit of Hope, LLC

  • Marriage & Family Therapist
  • Chaska, MN
National Provider Identifier
1942469366
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
1126 Issued in MN
Legal business name
SPIRIT OF HOPE, LLC
Practice address
326 Bluejay Avenue
Chaska, MN 55318-7418
Phone
(652) 546-5565
NPI assigned
Jun 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Authorized official

Name
Peg Roberts, LMFT
Title
President
Phone
(952) 546-5565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 1126 MN Primary

Addresses

Primary practice location

326 Bluejay Avenue
Chaska, MN 55318-7418

Mailing address

326 Bluejay Avenue
Chaska, MN 55318-7418
Phone (652) 546-5565

Other identifiers 1

IdentifierTypeStateIssuer
360450100MMedicaidMN

Other names 2

  • Spirit of Hope Counseling Doing business as
  • Spirit of Hope Counseling Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240415002820 MN Part B Supplier - Clinic/Group Practice 0143669895 Receives reassigned benefits from 1 practitioner
Practice locations: Chaska, MN

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": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1942469366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 BLUEJAY AVENUE",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553187418",
            "telephone_number": "652-546-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 BLUEJAY AVENUE",
            "city": "CHASKA",
            "state": "MN",
            "postal_code": "553187418",
            "telephone_number": "652-546-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPIRIT OF HOPE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "PEG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "952-546-5565",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360450100M",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spirit of Hope Counseling",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Spirit of Hope Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chaska, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; 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.