Organization Active NPI

Renova Wellness and Consulting PLLC

Doing business as Renova Wellness & Consulting PLLC

  • Community/Behavioral Health Agency
  • Riverton, UT
National Provider Identifier
1033905518
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RENOVA WELLNESS AND CONSULTING PLLC
Doing business as
Renova Wellness & Consulting PLLC
Practice address
2332 W 12600 S Ste B
Riverton, UT 84065-7172
Phone
(801) 317-8522
NPI assigned
Apr 19, 2025
Last updated
Jan 19, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Authorized official

Name
Joseph Gleed, LCSWNPI 1417592379
Title
Co-Owner
Phone
(801) 317-8522

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

2332 W 12600 S Ste B
Riverton, UT 84065-7172

Mailing address

10061 S 4400 W
South Jordan, UT 84009-9193
Phone (801) 317-8522

Other names 1

  • Renova Wellness & Consulting PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250811001630 UT Part B Supplier - Clinic/Group Practice 2466950399 Receives reassigned benefits from 2 practitioners
Practice locations: Riverton, UT

National Provider Directory

National Provider Directory

Locations

2332 W 12600 S
Ste B
Riverton, UT 84065
Phone (801) 317-8522

10694 S River Front Pkwy
South Jordan, UT 84095
Phone (385) 479-5395

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": "1745020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768780800000",
    "number": "1033905518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10061 S 4400 W",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840099193",
            "telephone_number": "801-317-8522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2332 W 12600 S STE B",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657172",
            "telephone_number": "801-317-8522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOVA WELLNESS AND CONSULTING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-19",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A",
        "authorized_official_last_name": "GLEED",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "801-317-8522",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renova Wellness & Consulting PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Renova Wellness & Consulting PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverton, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.