Organization Active NPI

Renewed Hope Counseling PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Logan, WV
National Provider Identifier
1245091925
Registry record updated Jan 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RENEWED HOPE COUNSELING PLLC
Practice address
40 Main Ave
Logan, WV 25601-3331
Phone
(910) 616-9197
Fax
(702) 920-8893
NPI assigned
Jan 19, 2024
Last updated
Jan 19, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
RENEWED HOPE COUNSELING PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 19, 2024

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

Authorized official

Name
Sandra Maynard, LCPNPI 1780042408
Title
Provider
Phone
(910) 616-9197

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

40 Main Ave
Logan, WV 25601-3331

Mailing address

40 Main Ave
Logan, WV 25601-3331
Phone (910) 616-9197

Other names 1

  • RHCC Other name

National Provider Directory

National Provider Directory
Part of
Renewed Hope Counseling PLLC

Locations

40 Main Ave
Logan, WV 25601
Phone (304) 896-2383

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1705622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705622400000",
    "number": "1245091925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 MAIN AVE",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013331",
            "telephone_number": "910-616-9197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MAIN AVE",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013331",
            "telephone_number": "910-616-9197",
            "fax_number": "702-920-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED HOPE COUNSELING PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RENEWED HOPE COUNSELING PLLC",
        "enumeration_date": "2024-01-19",
        "last_updated": "2024-01-19",
        "certification_date": "2024-01-19",
        "status": "A",
        "authorized_official_last_name": "MAYNARD",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "910-616-9197",
        "authorized_official_credential": "LCP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RHCC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Logan, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.