NPIMap

Organization Active NPI

Innergy Renewal, LLC

  • Mental Health Counselor
  • Upper Marlboro, MD
National Provider Identifier
1053071324
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
INNERGY RENEWAL, LLC
Practice address
11317 Kettering Cir
Upper Marlboro, MD 20774-1675
Phone
(301) 364-8913
NPI assigned
Dec 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Authorized official

Name
Ms. Lia Jones, LCPCNPI 1558826677
Title
Owner
Phone
(301) 917-4210

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

11317 Kettering Cir
Upper Marlboro, MD 20774-1675

Mailing address

11317 Kettering Cir
Upper Marlboro, MD 20774-1675
Phone (301) 364-8913

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1053071324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11317 KETTERING CIR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741675",
            "telephone_number": "301-364-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11317 KETTERING CIR",
            "city": "UPPER MARLBORO",
            "state": "MD",
            "postal_code": "207741675",
            "telephone_number": "301-364-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNERGY RENEWAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-917-4210",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upper Marlboro, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.