Organization Active NPI

Renewed Vision Counseling Services, LLC

  • Mental Health Counselor
  • Searcy, AR
National Provider Identifier
1366945313
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
P0907041 Issued in AR
Legal business name
RENEWED VISION COUNSELING SERVICES, LLC
Practice address
121 N Main St
Searcy, AR 72143-5421
Phone
(501) 305-0555
Fax
(866) 350-3336
NPI assigned
Mar 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Authorized official

Name
Michael S JonesNPI 1164597183
Title
Owner
Phone
(866) 507-9994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X P0907041 AR Primary

Addresses

Primary practice location

121 N Main St
Searcy, AR 72143-5421

Mailing address

100 Douglas PL
Searcy, AR 72143-8655
Phone (866) 507-9994

Other names 1

  • Renewed Vision Counseling Services Doing business as

National Provider Directory

National Provider Directory

Locations

121 N Main St
Searcy, AR 72143
Phone (501) 305-0555

1903 W Beebe Capps Expy
Searcy, AR 72143
Phone (866) 507-9994

Practitioners & affiliated clinicians

Practitioners 2

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": "1521072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636329600000",
    "number": "1366945313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 DOUGLAS PL",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721438655",
            "telephone_number": "866-507-9994",
            "fax_number": "866-350-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 N MAIN ST",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721435421",
            "telephone_number": "501-305-0555",
            "fax_number": "866-350-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED VISION COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-15",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "866-507-9994"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P0907041",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renewed Vision Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Searcy, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; 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.