Michelle L Tucker Renfrow

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

20169 Issued in TX

Practice address

3502 Green Fields Dr
Sugar Land, TX 77479-1843

Phone

(832) 607-3673

NPI assigned

Jun 21, 2023

Last updated

Jun 21, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• BSW Geode Clinicians of Texas PLLC

  dba Geode Health 2

  • Psychiatry Physician
  • Allen, TX
  • NPI 1790482834
  NPD

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1093490591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3502 GREEN FIELDS DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791843",
            "telephone_number": "832-607-3673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3502 GREEN FIELDS DR",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774791843",
            "telephone_number": "832-607-3673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENFROW",
        "first_name": "MICHELLE",
        "middle_name": "L TUCKER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "20169",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "20169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Remote Pharmacy Solutions Inc
• Steven Removcik, PT, DPT, SCS
• Renal Treatment Centers-Southeast, LP. (First Colony Dialysis Center)
• Renal Treatment Centers-Southeast, LP. (Greatwood Dialysis)
• Renewing Hearts and Minds Counseling Services, PLLC
• Kenneth Michael Renney, MD
• Masha Resman, M.D.
• Rest Diagnostics, Limited Liability Company
• Restore Medical Group PLLC
• Reverie Sleep and Neurology Consultants, LLC

• Professional Counselor in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.