Rebuild and Renew Counseling Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

REBUILD AND RENEW COUNSELING SERVICES, LLC

Practice address

1106 Clayton LN Ste 500W
Austin, TX 78723-1034

Phone

(512) 775-7981

Fax

(512) 852-4765

NPI assigned

Mar 14, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly B Wilson, LPC

Title

Licensed Professional Counselor

Phone

(512) 775-7981

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1363219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363219200000",
    "number": "1083955025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 CLAYTON LN STE 500W",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231034",
            "telephone_number": "512-775-7981",
            "fax_number": "512-852-4765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 CLAYTON LN STE 500W",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787231034",
            "telephone_number": "512-775-7981",
            "fax_number": "512-852-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBUILD AND RENEW COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-14",
        "last_updated": "2013-03-14",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "512-775-7981",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Daniel Chase Reber, R.N.
• Ana Rebollar
• Katherine R Rebuck, PA-C
• Karen Lizvett Recendez, PT, DPT
• Sara Rechis
• Miguel Antonio Recinos, PHARMD, BCMTMS
• Amy Nima Recio, LMFT ASSOCIATE
• Lindsay Reck, MPA, PA-C

• Professional Counselor in Austin, TX
• Providers in Austin, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2013; 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.