Renewed Hope Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RENEWED HOPE COUNSELING LLC

Practice address

7935 E 57TH St
Tulsa, OK 74145-8622

Phone

(918) 268-6379

Fax

(918) 992-2621

NPI assigned

Feb 27, 2020

Organization subpart

No

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

Authorized official

Name

Jessica Rae Ngotngamwong, LCSWNPI 1861630600

Title

Owner/Psychotherapist

Phone

(918) 268-6379

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Enrollment records 1

Locations

Practitioners 1

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

• Jessica Rae Ngotngamwong, LCSW

  • Clinical Social Worker
  • Tulsa, OK
  • NPI 1861630600
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1366076341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7935 E 57TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741458622",
            "telephone_number": "918-268-6379",
            "fax_number": "918-992-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7935 E 57TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741458622",
            "telephone_number": "918-268-6379",
            "fax_number": "918-992-2621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED HOPE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "NGOTNGAMWONG",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER/PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "918-268-6379",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renal Treatment Centers West Inc
• Renal Treatment Centers West Inc
• Latosha Renee, MSW
• Renew Physical Therapy Specialists PLLC
• Renew Sleep Solutions, Inc.
• Dustin Patrick Renfro, CRNA
• Jill Suzanne Renfro, APRN
• Jonathan Renfro
• Machelle Frances Renfro
• Gini A Renfrow, APRN-NP

• Clinical Social Worker in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Clinical Social Worker in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.