HOPE FOR SHATTERED HEART LLC
NPI 1700473162
Counselor - Professional in Saint Marys, GA
About Hope For Shattered Heart Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HOPE FOR SHATTERED HEART LLC (NPI 1700473162) is a healthcare organization registered as a professional in Saint Marys, Georgia and active in the NPI registry since December 2020. The organization lists Patricia Jackson Whalen, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Hope For Shattered Heart Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Hope For Shattered Heart LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Hope For Shattered Heart LLC's NPI number?
The NPI number for Hope For Shattered Heart LLC is 1700473162. It was assigned to this organization in the NPPES registry on December 30, 2020.
Where is Hope For Shattered Heart LLC located?
Hope For Shattered Heart LLC is located at 708 Osborne St Ste 104, Saint Marys, GA 31558. The listed phone number is (470) 270-9268.
What is Hope For Shattered Heart LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Hope For Shattered Heart LLC enrolled in Medicare?
Yes. Hope For Shattered Heart LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Hope For Shattered Heart LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Hope For Shattered Heart LLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Hope For Shattered Heart LLC was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Hope For Shattered Heart Llc · NPI 1700473162
Professional organization in Saint Marys, Georgia. Organization record, active in the CMS NPPES registry since December 30, 2020.
## Identity
- **NPI:** 1700473162 (Entity type: Organization)
- **Enumerated:** December 30, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Patricia Whalen, OWNER
## Practice location
- **Address:** 708 OSBORNE ST STE 104, Saint Marys, GA 31558-8497
- **Phone:** (470) 270-9268 · **Fax:** (915) 576-5315
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1700473162) · Data from the CMS NPPES public registry.