Organization Active NPI

Rising Hope Ministries

  • Adolescent and Children Mental Health Clinic/Center
  • Worthington, MN
National Provider Identifier
1942679485
Registry record updated Sep 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
01707 Issued in MN
Legal business name
RISING HOPE MINISTRIES
Practice address
225 9TH St
Worthington, MN 56187-2368
Phone
(507) 329-6036
NPI assigned
Sep 15, 2015
Last updated
Sep 15, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2015

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

Authorized official

Name
Kristin Kathrin Walerius, M.DIV, LPC
Title
Executive Director, Founder
Phone
(507) 329-6036

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X 01707 MN Primary

Addresses

Primary practice location

225 9TH St
Worthington, MN 56187-2368

Mailing address

PO Box 94
Round Lake, MN 56167-0094

National Provider Directory

National Provider Directory

Locations

225 9th St
Worthington, MN 56187
Phone (507) 329-6036

NPI Registry JSON

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

{
    "created_epoch": "1442275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442275200000",
    "number": "1942679485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94",
            "city": "ROUND LAKE",
            "state": "MN",
            "postal_code": "561670094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 9TH ST",
            "city": "WORTHINGTON",
            "state": "MN",
            "postal_code": "561872368",
            "telephone_number": "507-329-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING HOPE MINISTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-15",
        "last_updated": "2015-09-15",
        "status": "A",
        "authorized_official_last_name": "WALERIUS",
        "authorized_official_first_name": "KRISTIN",
        "authorized_official_middle_name": "KATHRIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, FOUNDER",
        "authorized_official_telephone_number": "507-329-6036",
        "authorized_official_credential": "M.DIV, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "MN",
            "license": "01707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worthington, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; 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.