Individual provider Active NPI

Renete Washington, LPC, LMHC

  • Mental Health Counselor
  • Kennesaw, GA
National Provider Identifier
1235518994
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC010932 Issued in GA
Practice address
2959 Cherokee St NW Ste 201
Kennesaw, GA 30144-6522
Phone
(678) 653-8676
Fax
(678) 381-1372
NPI assigned
May 27, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X MH 14724 FL
Mental Health Counselor 101YM0800X MH 14724 FL
Mental Health Counselor 101YM0800X MH14724 FL
Mental Health Counselor 101YM0800X LPC010932 GA Primary

Addresses

Primary practice location

2959 Cherokee St NW Ste 201
Kennesaw, GA 30144-6522

Mailing address

2959 Cherokee St NW Ste 201
Kennesaw, GA 30144-6522
Phone (678) 653-8676

Other names 1

  • Renete Benjamin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH 14724FLMDMental Health Counselor
MH14724FLMDMental Health Counselor
LPC010932GAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bridged Connections Inc. Mental Health Current Accepting new patients

Locations

2959 Cherokee St NW
Ste 201
Kennesaw, GA 30144
Phone (678) 653-8676

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1235518994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 CHEROKEE ST NW STE 201",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446522",
            "telephone_number": "678-653-8676",
            "fax_number": "678-381-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 CHEROKEE ST NW STE 201",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301446522",
            "telephone_number": "678-653-8676",
            "fax_number": "678-381-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "RENETE",
        "name_prefix": "Mrs.",
        "credential": "LPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MH 14724",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 14724",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14724",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC010932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENETE",
            "last_name": "BENJAMIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.