Active NPI
Renee Mechelle Prows, LPCA
- Professional Counselor
- Fayetteville, NC
National Provider Identifier
1336505528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- A8615
- Practice address
- 916 Arsenal Ave
Suite B
Fayetteville, NC 28305-5328 - Phone
- (910) 494-5362
- Fax
- (910) 485-1610
- NPI assigned
- Jan 5, 2016
- Last updated
- Jan 5, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | A8615 | NC | Primary |
Addresses
Primary practice location
916 Arsenal Ave
Suite B
Fayetteville, NC 28305-5328
Mailing address
916 Arsenal Ave
Suite B
Fayetteville, NC 28305-5328
Phone (910) 494-5362
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A8615 | NC | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1451952000000",
"number": "1336505528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "916 ARSENAL AVE",
"address_2": "SUITE B",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055328",
"telephone_number": "910-494-5362",
"fax_number": "910-485-1610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "916 ARSENAL AVE",
"address_2": "SUITE B",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283055328",
"telephone_number": "910-494-5362",
"fax_number": "910-485-1610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROWS",
"first_name": "RENEE",
"middle_name": "MECHELLE",
"name_prefix": "Mrs.",
"credential": "LPCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-05",
"last_updated": "2016-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "A8615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
- Promising Home Care
- Prosperity Ridge Enterprises LLC
- Ana Stacia Prosser
- Provisions Behavioral Services (Provisions Community Support Services, LLC)
- Michele T Provost, PA
- Jackson Thomas Pruett, PT, DPT
- Lysiane Pruitt, FNP
- Pruitthealth Hospice, Inc. (PruittHealth Hospice - Fayetteville)
- Kimberly Wilson Pryzgoda, DDS
- Publix North Carolina LP (Publix Pharmacy #2101)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.