Renee Williamson Behavioral Health Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

RENEE WILLIAMSON BEHAVIORAL HEALTH SERVICES, LLC

Practice address

2555 55TH PL Ste 210
Indianapolis, IN 46220-3550

Phone

(317) 210-5179

Fax

(317) 251-2403

NPI assigned

Sep 1, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Gwendolyn Renee Williamson, LMHCNPI 1457951832

Title

Therapist

Phone

(317) 210-5179

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Locations

Practitioners 2

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

• Gwendolyn Renee Williamson

  • Mental Health Counselor
  • Indianapolis, IN
  • NPI 1457951832

  Professional

  Medicare reassignment NPD Authorized official
• Diana Lynn Clarke, LMHC, NCC

  • Mental Health Counselor
  • Carmel, IN
  • NPI 1598377988

  Single Specialty

  NPD

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

{
    "created_epoch": "1693526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693526400000",
    "number": "1295511665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 88353",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462080353",
            "telephone_number": "317-513-8979",
            "fax_number": "317-251-2403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 55TH PL STE 210",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203550",
            "telephone_number": "317-210-5179",
            "fax_number": "317-251-2403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE WILLIAMSON BEHAVIORAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-01",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "317-210-5179",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah Daniel Rench, DO
• Ruth A Rench, RN
• Allison Rendel, NP
• Deosha Anya Rendell
• Kayla Reneau
• Renew and Restore Therapeutic Services
• Renew Dental Arts, LLC
• Renew Life Concepts, LLC
• Renewed & Rooted Counseling, Consulting, & Education LLC
• Leslie Ann Renfro, M.D.

• Professional Counselor in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Professional Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.