Organization Active NPI

Renaissance Somatic Counseling

  • Clinical Social Worker
  • Tallahassee, FL
National Provider Identifier
1114761327
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RENAISSANCE SOMATIC COUNSELING
Practice address
2509 Barrington Cir Ste 101
Tallahassee, FL 32308-6801
Phone
(850) 270-3370
NPI assigned
Jun 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Authorized official

Name
Robin Dunn Bryant, LCSWNPI 1932832367
Title
Owner
Phone
(850) 270-3370

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2509 Barrington Cir Ste 101
Tallahassee, FL 32308-6801

Mailing address

529 Truett Dr
Tallahassee, FL 32303-5218
Phone (850) 270-3370

National Provider Directory

National Provider Directory

Locations

2509 Barrington Cir
Ste 101
Tallahassee, FL 32308
Phone (850) 270-3370

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1114761327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 TRUETT DR",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323035218",
            "telephone_number": "850-270-3370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2509 BARRINGTON CIR STE 101",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323086801",
            "telephone_number": "850-270-3370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE SOMATIC COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "DUNN BRYANT",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-270-3370",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.