Organization Active NPI

Renovating Hope Counseling and Spiritual Direction, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Roswell, GA
National Provider Identifier
1124831318
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
RENOVATING HOPE COUNSELING AND SPIRITUAL DIRECTION, LLC
Practice address
555 Sun Valley Dr Ste L3
Roswell, GA 30076-5630
Phone
(404) 369-8957
NPI assigned
Jan 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Kristen E Shoemaker, MAEDNPI 1396062295
Title
LPC
Phone
(843) 412-0776

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

555 Sun Valley Dr Ste L3
Roswell, GA 30076-5630

Mailing address

555 Sun Valley Dr Ste L3
Roswell, GA 30076-5630
Phone (404) 369-8957

National Provider Directory

National Provider Directory

Locations

555 Sun Valley Dr
Ste L3
Roswell, GA 30076
Phone (404) 369-8957

Practitioners & affiliated clinicians

Practitioners 3

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": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1124831318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SUN VALLEY DR STE L3",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765630",
            "telephone_number": "404-369-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SUN VALLEY DR STE L3",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765630",
            "telephone_number": "404-369-8957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOVATING HOPE COUNSELING AND SPIRITUAL DIRECTION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "SHOEMAKER",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "843-412-0776",
        "authorized_official_credential": "MAED"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.