Organization Active NPI

Revive & Renew Counseling, LLC

  • Mental Health Counselor
  • Greenville, SC
National Provider Identifier
1386414704
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
REVIVE & RENEW COUNSELING, LLC
Practice address
1990 Augusta St Ste 400
Greenville, SC 29605-6509
Phone
(864) 660-3453
NPI assigned
Jan 5, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Authorized official

Name
Alexandra Schuler Mott, LPCNPI 1043883796
Title
Therapist/Owner
Phone
(864) 660-3453

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: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1990 Augusta St Ste 400
Greenville, SC 29605-6509

Mailing address

1990 Augusta St Ste 400
Greenville, SC 29605-6509

National Provider Directory

National Provider Directory

Locations

1990 Augusta St
Ste 800
Greenville, SC 29605

1990 Augusta St
Ste 400
Greenville, SC 29605
Phone (864) 660-3453

Practitioners & affiliated clinicians

Practitioners 1

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": "1704412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710979200000",
    "number": "1386414704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1990 AUGUSTA ST STE 400",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296056509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1990 AUGUSTA ST STE 400",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296056509",
            "telephone_number": "864-660-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE & RENEW COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-05",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A",
        "authorized_official_last_name": "MOTT",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_middle_name": "SCHULER",
        "authorized_official_title_or_position": "THERAPIST/OWNER",
        "authorized_official_telephone_number": "864-660-3453",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2024; 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.