Organization Active NPI

Renaissance Oncology Counseling Associates, Inc.

  • Mental Health Counselor
  • Richardson, TX
National Provider Identifier
1063565711
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18851 Issued in TX
Legal business name
RENAISSANCE ONCOLOGY COUNSELING ASSOCIATES, INC.
Practice address
1221 Abrams Rd Ste 232
Richardson, TX 75081-5581
Phone
(972) 234-2333
Fax
(972) 234-8964
NPI assigned
Jan 18, 2007
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Pam Abernethy, L.P.C.
Title
Ceo
Phone
(972) 234-2333

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 11167 TX
Mental Health Counselor 101YM0800X 15900 TX
Mental Health Counselor 101YM0800X 18851 TX Primary
Clinical Social Worker 1041C0700X SO4053 TX

Addresses

Primary practice location

1221 Abrams Rd Ste 232
Richardson, TX 75081-5581

Mailing address

PO Box 450091
Garland, TX 75045-0091
Phone (972) 234-2333

Other identifiers 2

IdentifierTypeStateIssuer
236213OtherTXMHN
0030HNOtherTXBLUE CROSS

Other names 1

  • ROCA Other name

National Provider Directory

National Provider Directory

Locations

1221 Abrams Rd
Ste 232
Richardson, TX 75081
Phone (972) 234-2333

Practitioners & affiliated clinicians

Practitioners 2

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": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1063565711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450091",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750450091",
            "telephone_number": "972-234-2333",
            "fax_number": "972-234-8964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 ABRAMS RD STE 232",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750815581",
            "telephone_number": "972-234-2333",
            "fax_number": "972-234-8964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE ONCOLOGY COUNSELING ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "ABERNETHY",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "972-234-2333",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "11167",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "15900",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "18851",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "SO4053",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "236213",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0030HN",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ROCA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richardson, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.