Healthcare Provider Details

I. General information

NPI: 1124988761
Provider Name (Legal Business Name): RAYS OF HOPE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2025
Last Update Date: 11/17/2025
Certification Date: 11/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

635 W MAIN ST
JOHN DAY OR
97845-1034
US

IV. Provider business mailing address

PO BOX 12
JOHN DAY OR
97845-0012
US

V. Phone/Fax

Practice location:
  • Phone: 541-313-5492
  • Fax: 541-393-9087
Mailing address:
  • Phone: 541-313-5492
  • Fax: 541-393-9087

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MICHELLE JEANNE GIBSON
Title or Position: OWNER
Credential: L.C.S.W
Phone: 541-620-2566