Renew Therapy and Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RENEW THERAPY AND SERVICES

Practice address

280 N Wilderness PT
Casselberry, FL 32707-5273

Phone

(321) 324-3697

NPI assigned

Nov 3, 2020

Organization subpart

No

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

Authorized official

Name

Claudia Matos, LCSWNPI 1265781611

Title

Therapist

Phone

(407) 729-6832

Specialties & licenses 1

Addresses

Practitioners 1

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

• Claudia Matos, LCSW

  • Clinical Social Worker
  • Orange City, FL
  • NPI 1265781611

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604534400000",
    "number": "1205437613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 N WILDERNESS PT",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075273",
            "telephone_number": "321-324-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 N WILDERNESS PT",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327075273",
            "telephone_number": "321-324-3697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW THERAPY AND SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-03",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A",
        "authorized_official_last_name": "MATOS",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "407-729-6832",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth M Rash, ARNP
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• Lenin Faisury Restrepo, FNP
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• Patricia Reyenga, LCSW

• Mental Health Counselor in Casselberry, FL
• Providers in Casselberry, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.