NPIMap

Organization Active NPI

Renewed Integrative Counseling

  • Mental Health Counselor
  • Riverview, FL
National Provider Identifier
1144988080
Registry record updated Dec 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RENEWED INTEGRATIVE COUNSELING
Practice address
11912 Balm Riverview Road
Riverview, FL 33569
Phone
(813) 444-7116
NPI assigned
Dec 7, 2021
Last updated
Dec 7, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2021

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

Authorized official

Name
Amanda Levy, LMHCNPI 1689224339
Title
Owner/Therapist
Phone
(813) 444-7116

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

11912 Balm Riverview Road
Riverview, FL 33569

Mailing address

10723 Banfield Dr
Riverview, FL 33579-7781

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL simplepractice

National Provider Directory

National Provider Directory

Locations

2911 Park Pond Way
Kissimmee, FL 34741
Phone (813) 444-7116

1074 S Florida Ave
Ste 103
Lakeland, FL 33803
Phone (813) 444-7116

11912 Balm Riverview Rd
Riverview, FL 33569
Phone (813) 444-7116

29160 Chapel Park Dr
Wesley Chapel, FL 33543
Phone (813) 444-7116

Practitioners & affiliated clinicians

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638835200000",
    "number": "1144988080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10723 BANFIELD DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11912 BALM RIVERVIEW ROAD",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "33569",
            "telephone_number": "813-444-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED INTEGRATIVE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-07",
        "last_updated": "2021-12-07",
        "certification_date": "2021-11-29",
        "status": "A",
        "authorized_official_last_name": "LEVY",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "813-444-7116",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "simplepractice",
            "affiliation": "N",
            "address_1": "11912 Balm Riverview Road",
            "city": "Riverview",
            "state": "FL",
            "country_code": "US",
            "postal_code": "33569",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2021; 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.