Active NPI
Renewed Vision Counseling Services, LLC
- Mental Health Counselor
- Searcy, AR
National Provider Identifier
1366945313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- P0907041
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael S Jones
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Mental Health Counselor
- Searcy, AR
- NPI 1164597183
-
- Mental Health Counselor
- Searcy, AR
- NPI 1366747834
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.