MEDICARE: HOPE ROOTS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1578424396
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE ROOTS

Provider Business Mailing Address
First Line	:	109 CAMERON DR BLDG A
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-3961
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3333 IRIS AVE STE 104
Second Line	:
City	:	BOULDER
State	:	CO
Zip	:	80301-1998
Country	:	US
Telephone Number	:	970-818-8373
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	SARAH A JOSEPH
Credential	:
Telephone Number	:	970-818-8373

Provider Enumeration Date	:	11/20/2025
Last Update Date	:	11/20/2025

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Directions to “HOPE ROOTS ” Practice Location

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