Renewal Counseling & Consulting, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904008492 Issued in VA

Legal business name

RENEWAL COUNSELING & CONSULTING, LLC

Practice address

4914 Fitzhugh Ave Ste 101
Richmond, VA 23230

Phone

(804) 213-2662

Fax

(888) 855-4860

NPI assigned

Jan 15, 2018

Last updated

Apr 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Rashika Nelson Wallace, LCSWNPI 1487960985

Title

Owner/Clinician

Phone

(804) 213-2662

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Practitioners 2

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.

• Rashika Nelson Wallace, MSW

  • Clinical Social Worker
  • Richmond, VA
  • NPI 1487960985
  Medicare reassignment NPD Authorized official
• Michon Blowe, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Chester, VA
  • NPI 1083091656
  Medicare reassignment NPD

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

{
    "created_epoch": "1515974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1235647041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18362",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232268362",
            "telephone_number": "804-213-2662",
            "fax_number": "888-855-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4914 FITZHUGH AVE STE 101",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "23230",
            "telephone_number": "804-213-2662",
            "fax_number": "888-855-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWAL COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-15",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "RASHIKA",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "804-213-2662",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renaissance Healthcare Group Virginia, LLC (Aster Springs Outpatient Richmond)
• Melanie Renault, LCSW
• Patricia Colleen Renaye, LPC
• Clifford Renchen, ACSM HFS
• Holly Megan Renes
• Renewed Health, LLC
• Renewed Hope Behavioral Health Services
• Renewed Mental Health & Wellness, PLLC
• Renewed Thought Therapy PLLC (Renewed Thought Therapy)
• Renewing Rva

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.