HARBOR OF HOPE MEDICAL AND BEHAVIORAL HEALTH CARE, LLC
NPI 1235774522
Nurse Practitioner - Family in Barbourville, KY

Active since November 11, 2019
185 TREUHAFT BLVD APT 4, BARBOURVILLE, KY 40906(606) 545-6766 Get Directions Write a Review

NPPES record last updated: April 13, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 13, 2020, Jan 13, 2020, Nov 11, 2019 (3 updates tracked since 2019).

About Harbor Of Hope Medical And Behavioral Health Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HARBOR OF HOPE MEDICAL AND BEHAVIORAL HEALTH CARE, LLC (NPI 1235774522) is a healthcare organization registered as a family in Barbourville, Kentucky and active in the NPI registry since November 2019. The organization lists Thelma J Gray, Owner, as its authorized official.

NPPES Registry Identity

NPI1235774522
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameHARBOR OF HOPE MEDICAL AND BEHAVIORAL HEALTH CARE, LLC
Location Address185 TREUHAFT BLVD APT 4Barbourville, KY 40906-8300
Mailing Address868 Sam Parker RdGray, KY 40734-6780 · (606) 269-3428
Organization SubpartYes
Authorized OfficialThelma J GrayOwner · (606) 269-3428
Enumeration DateNovember 11, 2019
Last NPPES UpdateApril 13, 20203 updates tracked since enumeration
NPPES CertifiedApril 13, 2020
✔ NPI 1235774522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
185 TREUHAFT BLVD APT 4, Barbourville, KY 40906

Other Identifiers 1

Medicaid7100615630KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Harbor Of Hope Medical And Behavioral Health Care, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Harbor Of Hope Medical And Behavioral Health Care, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1548755499
185 TREUHAFT BLVD STE 4
Barbourville, KY 40906
(606) 545-6766
✔ PECOS✔ Accepts MedicareSame address
Mental Health Counselor
NPI 1407197627
401 BOGLE ST STE 102
Somerset, KY 42503
(606) 269-9604
✔ PECOS✔ Accepts Medicare45 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Harbor Of Hope Medical And Behavioral Health Care, LLC's NPI number?

The NPI number for Harbor Of Hope Medical And Behavioral Health Care, LLC is 1235774522. It was assigned to this organization in the NPPES registry on November 11, 2019.

Where is Harbor Of Hope Medical And Behavioral Health Care, LLC located?

Harbor Of Hope Medical And Behavioral Health Care, LLC is located at 185 Treuhaft Blvd Apt 4, Barbourville, KY 40906. The listed phone number is (606) 545-6766.

What is Harbor Of Hope Medical And Behavioral Health Care, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Harbor Of Hope Medical And Behavioral Health Care, LLC enrolled in Medicare?

Yes. Harbor Of Hope Medical And Behavioral Health Care, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Harbor Of Hope Medical And Behavioral Health Care, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Harbor Of Hope Medical And Behavioral Health Care, LLC, in Mental Health Counselor and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Harbor Of Hope Medical And Behavioral Health Care, LLC accept?

Health plans from Anthem Blue Cross and Blue Shield list Harbor Of Hope Medical And Behavioral Health Care, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Harbor Of Hope Medical And Behavioral Health Care, LLC was last updated on April 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.