NPIMap

Organization Active NPI

Renewal Counseling & Consulting, LLC

  • Clinical Social Worker
  • Athens, GA
National Provider Identifier
1033368733
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RENEWAL COUNSELING & CONSULTING, LLC
Practice address
598 S Milledge Ave
Suite 2
Athens, GA 30605-1262
Phone
(706) 424-5888
Fax
(706) 543-5511
NPI assigned
Sep 17, 2008
Last updated
Sep 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Justin Matthew Shewell, PSY.D., LCSWNPI 1134267859
Title
Owner
Phone
(706) 424-5888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

598 S Milledge Ave
Suite 2
Athens, GA 30605-1262

Mailing address

598 S Milledge Ave
Suite 2
Athens, GA 30605-1262
Phone (706) 424-5888

National Provider Directory

National Provider Directory

Locations

188 S Milledge Ave
Unit 1
Athens, GA 30605
Phone (706) 424-5888

598 S Milledge Ave
Ste 2
Athens, GA 30605
Phone (706) 424-5888

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1033368733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 S MILLEDGE AVE",
            "address_2": "SUITE 2",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306051262",
            "telephone_number": "706-424-5888",
            "fax_number": "706-543-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 S MILLEDGE AVE",
            "address_2": "SUITE 2",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306051262",
            "telephone_number": "706-424-5888",
            "fax_number": "706-543-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWAL COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "SHEWELL",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-424-5888",
        "authorized_official_credential": "PSY.D., LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.