Organization Active NPI

Renewal Counseling Services

  • Clinical Social Worker
  • East Lansing, MI
National Provider Identifier
1093136376
Registry record updated Jan 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801091453 Issued in MI
Legal business name
RENEWAL COUNSELING SERVICES
Practice address
4994 Park Lake Rd
East Lansing, MI 48823-3836
Phone
(517) 896-4060
NPI assigned
Jan 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2014

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

Authorized official

Name
Monica Poff, LMSW
Title
Social Worker
Phone
(517) 896-4060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801091453 MI Primary

Addresses

Primary practice location

4994 Park Lake Rd
East Lansing, MI 48823-3836

Mailing address

4994 Park Lake Road
East Lansing, MI 48823

National Provider Directory

National Provider Directory

Locations

703 E Main St
Dewitt, MI 48820
Phone (517) 896-4060

4994 Park Lake Rd
East Lansing, MI 48823
Phone (517) 391-7567

NPI Registry JSON

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388707200000",
    "number": "1093136376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4994 PARK LAKE ROAD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "48823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4994 PARK LAKE RD",
            "city": "EAST LANSING",
            "state": "MI",
            "postal_code": "488233836",
            "telephone_number": "517-896-4060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWAL COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A",
        "authorized_official_last_name": "POFF",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "517-896-4060",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Lansing, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; 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.