HOPE REVISITED COUNSELING SERVICES PLLC
NPI 1740877638
Social Worker - Clinical in South Bend, WA

Active since December 24, 2020
500 W ROBERT BUSH DR STE 3, SOUTH BEND, WA 98586(360) 209-3240 Get Directions Write a Review

NPPES record last updated: December 24, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Hope Revisited Counseling Services Pllc NPPES

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

HOPE REVISITED COUNSELING SERVICES PLLC (NPI 1740877638), doing business as Hope Revisited Counseling Services, is a healthcare organization registered as a clinical in South Bend, Washington and active in the NPI registry since December 2020. The organization lists Gina Renee Miles, Owner, as its authorized official.

NPPES Registry Identity

NPI1740877638
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameHOPE REVISITED COUNSELING SERVICES PLLC
Location Address500 W ROBERT BUSH DR STE 3South Bend, WA 98586-9075
Mailing AddressPo Box 532South Bend, WA 98586-0532 · (509) 821-1035
Organization SubpartNo
Authorized OfficialGina Renee MilesOwner · (509) 821-1035
Enumeration DateDecember 24, 2020
NPPES CertifiedDecember 24, 2020
✔ NPI 1740877638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
500 W ROBERT BUSH DR STE 3, South Bend, WA 98586

Other Names 1

Doing Business AsHope Revisited Counseling Services

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Hope Revisited Counseling Services Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by October 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateWashingtonEnrollment IDO20210205000275Non-DME Part B · Clinic/Group PracticeDue dateOctober 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Hope Revisited Counseling Services PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1124651419
221 W WYNOOCHE AVE UNIT B
Montesano, WA 98563
(360) 797-5241
✔ PECOS✔ Accepts Medicare24 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 Hope Revisited Counseling Services PLLC's NPI number?

The NPI number for Hope Revisited Counseling Services PLLC is 1740877638. It was assigned to this organization in the NPPES registry on December 24, 2020. The provider is doing business as Hope Revisited Counseling Services.

Where is Hope Revisited Counseling Services PLLC located?

Hope Revisited Counseling Services PLLC is located at 500 W Robert Bush Dr Ste 3, South Bend, WA 98586. The listed phone number is (360) 209-3240.

What is Hope Revisited Counseling Services PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Hope Revisited Counseling Services PLLC enrolled in Medicare?

Yes. Hope Revisited Counseling Services PLLC is registered in the Medicare PECOS enrollment system.

When is Hope Revisited Counseling Services PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Washington, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Hope Revisited Counseling Services PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Hope Revisited Counseling Services PLLC. 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.

What insurance does Hope Revisited Counseling Services PLLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Hope Revisited Counseling Services PLLC 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 Hope Revisited Counseling Services PLLC was last updated on December 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.