Provider Demographics
NPI:1730316274
Name:NEW HOPE COUNSELING
Entity Type:Organization
Organization Name:NEW HOPE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JASON
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:UNZICKER
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:319-759-1450
Mailing Address - Street 1:JASON UNZICKER
Mailing Address - Street 2:14735 LYNX RD.
Mailing Address - City:DANVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52623-9140
Mailing Address - Country:US
Mailing Address - Phone:319-759-1450
Mailing Address - Fax:
Practice Address - Street 1:200 E MAIN ST
Practice Address - Street 2:
Practice Address - City:LA HARPE
Practice Address - State:IL
Practice Address - Zip Code:61450-4926
Practice Address - Country:US
Practice Address - Phone:319-759-1450
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-11
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180006800101YP2500X
261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty