Active NPI
Renovating Hope Counseling and Spiritual Direction, LLC
- Adolescent and Children Mental Health Clinic/Center
- Roswell, GA
National Provider Identifier
1124831318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adolescent and Children Mental Health Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kristen E Shoemaker, MAED
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Mental Health Counselor
- Roswell, GA
- NPI 1396062295
-
- Professional Counselor
- Roswell, GA
- NPI 1518783844
-
- Mental Health Counselor
- Roswell, GA
- NPI 1487514089
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.