Active NPI
Rising Hope Ministries
- Adolescent and Children Mental Health Clinic/Center
- Worthington, MN
National Provider Identifier
1942679485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- License
- 01707
- 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, 2015
- 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
- Kristin Kathrin Walerius, M.DIV, LPC
- Title
- Executive Director, Founder
- Phone
- (507) 329-6036
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.