Active NPI
Renewing Me Behavioral Health Solutions, LLC.
- Rehabilitation Clinic/Center
- Parkville, MD
National Provider Identifier
1043785215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- Legal business name
- RENEWING ME BEHAVIORAL HEALTH SOLUTIONS, LLC.
- Practice address
- 8911 Clement Ave Ste a&C
Parkville, MD 21234-2603 - Phone
- (443) 442-6804
- Fax
- (443) 442-6084
- NPI assigned
- Oct 3, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Stacy L Pleaze, LCSW-C
- Title
- Ceo/Program Director
- Phone
- (443) 442-6804
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Professional Counselor | 101YP2500X | |||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Rehabilitation Counselor | 225C00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Rehabilitation Clinic/Center | 261QR0400X | Primary | ||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
8911 Clement Ave Ste a&C
Parkville, MD 21234-2603
Mailing address
8911 Clement Ave Ste a&C
Parkville, MD 21234-2603
Phone (443) 442-6804
Other names 1
- ReNewing Me Solutions
National Provider Directory
National Provider Directory- Tax ID family
- Renewing Me Behavioral Health Solutions LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Parkville, MD
- NPI 1083186928
-
- Community/Behavioral Health Agency
- Parkville, MD
- NPI 1902412216
Locations
8911 Clement Ave
Parkville, MD 21234
Phone (443) 442-6804
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Parkville, MD
- NPI 1578036737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538524800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713744000000",
"number": "1043785215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8911 CLEMENT AVE STE A&C",
"city": "PARKVILLE",
"state": "MD",
"postal_code": "212342603",
"telephone_number": "443-442-6804",
"fax_number": "443-442-6084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8911 CLEMENT AVE STE A&C",
"city": "PARKVILLE",
"state": "MD",
"postal_code": "212342603",
"telephone_number": "443-442-6804",
"fax_number": "443-442-6084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEWING ME BEHAVIORAL HEALTH SOLUTIONS, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-03",
"last_updated": "2024-04-22",
"certification_date": "2024-04-22",
"status": "A",
"authorized_official_last_name": "PLEAZE",
"authorized_official_first_name": "STACY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CEO/PROGRAM DIRECTOR",
"authorized_official_telephone_number": "443-442-6804",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW-C"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "225C00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ReNewing Me Solutions",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "ReNewing Me Solutions",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Parkville, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.