NPIMap

Organization Active NPI

Renew You Counseling and Therapy Center PC

Doing business as Renew You

  • Mental Health Counselor
  • Pueblo, CO
National Provider Identifier
1376385328
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RENEW YOU COUNSELING AND THERAPY CENTER PC
Doing business as
Renew You
Practice address
503 N Main St Ste 654&656
Pueblo, CO 81003-3130
Phone
(719) 501-8596
NPI assigned
Jun 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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

Authorized official

Name
Niki Arriaga, LPCNPI 1801570148
Title
Partner
Phone
(719) 501-8596

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Cognitive & Behavioral PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TB0200X
Group Psychotherapy PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TP2701X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

503 N Main St Ste 654&656
Pueblo, CO 81003-3130

Mailing address

503 N Main St Ste 654&656
Pueblo, CO 81003-3130
Phone (719) 766-9362

Other names 1

  • Renew You Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240829004725 CO Part B Supplier - Clinic/Group Practice 5890234157 Receives reassigned benefits from 2 practitioners
Practice locations: Pueblo, CO

National Provider Directory

National Provider Directory

Locations

503 N Main St
Ste 654
Pueblo, CO 81003
Phone (719) 766-9362

503 N Main St
Ste 654656
Pueblo, CO 81003
Phone (719) 501-8596

Practitioners & affiliated clinicians

Practitioners 4

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": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719273600000",
    "number": "1376385328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 N MAIN ST STE 654&656",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033130",
            "telephone_number": "719-766-9362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 N MAIN ST STE 654&656",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810033130",
            "telephone_number": "719-501-8596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW YOU COUNSELING AND THERAPY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A",
        "authorized_official_last_name": "ARRIAGA",
        "authorized_official_first_name": "NIKI",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "719-501-8596",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renew You",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Renew You",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pueblo, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; 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.