Renewal Counseling Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

6234569 Issued in MN

Legal business name

RENEWAL COUNSELING SERVICES, INC.

Practice address

1818 Wooddale Dr
Ste 204
Woodbury, MN 55125-2940

Phone

(651) 775-5693

NPI assigned

Jan 10, 2011

Last updated

Jan 10, 2011By 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

Cassandra Lee, MSW, LICSWNPI 1962564740

Title

Therapist

Phone

(651) 775-5693

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, and the practitioner matching its NPPES authorized official.

• Cassandra Yusook Lee, L.I.C.S.W.

  • Clinical Social Worker
  • Apple Valley, MN
  • NPI 1962564740
  NPD (past) Authorized official

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

{
    "created_epoch": "1294617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294617600000",
    "number": "1316241045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 16561",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551160561",
            "telephone_number": "651-775-5693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 WOODDALE DR",
            "address_2": "STE 204",
            "city": "WOODBURY",
            "state": "MN",
            "postal_code": "551252940",
            "telephone_number": "651-775-5693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWAL COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-10",
        "last_updated": "2011-01-10",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "651-775-5693",
        "authorized_official_credential": "MSW, LICSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MN",
            "license": "6234569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Woodbury, MN
• Providers in Woodbury, MN by specialty
• Community/Behavioral Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.