Organization Active NPI

Renew Counseling Associates

  • Community/Behavioral Health Agency
  • Stamford, CT
National Provider Identifier
1316265143
Registry record updated May 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
001291 Issued in CT
Legal business name
RENEW COUNSELING ASSOCIATES
Practice address
455 Old Long Ridge Rd
Stamford, CT 06903-1112
Phone
(187) 784-7363
NPI assigned
May 4, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2010

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

Authorized official

Name
Dr. Duane Kellogg
Title
Clinical Director
Phone
(877) 847-3639

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 001291 CT Primary

Addresses

Primary practice location

455 Old Long Ridge Rd
Stamford, CT 06903-1112

Mailing address

8 Wakeman Rd
Fairfield, CT 06824-5120
Phone (203) 255-5078

National Provider Directory

National Provider Directory
Tax ID family
Renew Counseling Associates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

455 Old Long Ridge Rd
Stamford, CT 06903

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1272931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272931200000",
    "number": "1316265143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 WAKEMAN RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245120",
            "telephone_number": "203-255-5078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 OLD LONG RIDGE RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069031112",
            "telephone_number": "187-784-7363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-04",
        "last_updated": "2010-05-04",
        "status": "A",
        "authorized_official_last_name": "KELLOGG",
        "authorized_official_first_name": "DUANE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "18778473639",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "001291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2010; 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.