Lifepath Holistic Counseling and Consulting, PLLC.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

LIFEPATH HOLISTIC COUNSELING AND CONSULTING, PLLC.

Practice address

104 Waxhaw Professional Park Dr Ste D
Waxhaw, NC 28173-5020

Phone

(704) 899-1555

NPI assigned

Oct 3, 2022

Organization subpart

No

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

Authorized official

Name

Jenny Renville, LCMHCA, NCCNPI 1124670500

Title

Licensed Clinical Mental Health Cou

Phone

(704) 899-1555

Specialties & licenses 2

Addresses

Other names 1

• LifePath Holistic Counseling and Consulting, PLLC. Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Practitioners 1

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

• Jenny Renville, DHA, MA, LCMHCA, NCC

  • Professional Counselor
  • Waxhaw, NC
  • NPI 1124670500
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1664755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1083338032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 WAXHAW PROFESSIONAL PARK DR STE D",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281735020",
            "telephone_number": "704-899-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 WAXHAW PROFESSIONAL PARK DR STE D",
            "city": "WAXHAW",
            "state": "NC",
            "postal_code": "281735020",
            "telephone_number": "704-899-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFEPATH HOLISTIC COUNSELING AND CONSULTING, PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-03",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "RENVILLE",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "LICENSED CLINICAL MENTAL HEALTH COU",
        "authorized_official_telephone_number": "704-899-1555",
        "authorized_official_credential": "LCMHCA, NCC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@lpccompany.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "104 Waxhaw Professional Park Dr Ste D",
            "city": "Waxhaw",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281735020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LifePath Holistic Counseling and Consulting, PLLC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "LifePath Holistic Counseling and Consulting, PLLC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in Waxhaw, NC
• Providers in Waxhaw, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.