Organization Active NPI

Renew Counseling and Consulting Services, LLC

  • Professional Counselor
  • San Marcos, TX
National Provider Identifier
1407098072
Registry record updated Mar 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
15790 Issued in TX
Legal business name
RENEW COUNSELING AND CONSULTING SERVICES, LLC
Practice address
100 N Edward Gary St
Suite 110
San Marcos, TX 78666-5726
Phone
(512) 618-9415
NPI assigned
Mar 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2009

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

Authorized official

Name
Mr. Robert Shannon Hart, MA, LPC-S, LSOTP-S
Title
Owner
Phone
(512) 618-9415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 15790 TX Primary

Addresses

Primary practice location

100 N Edward Gary St
Suite 110
San Marcos, TX 78666-5726

Mailing address

100 N Edward Gary St
Suite 110
San Marcos, TX 78666-5726
Phone (512) 618-9415

National Provider Directory

National Provider Directory

Locations

100 N Edward Gary St
Ste 110
San Marcos, TX 78666
Phone (512) 618-9415

NPI Registry JSON

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

{
    "created_epoch": "1238284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238284800000",
    "number": "1407098072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N EDWARD GARY ST",
            "address_2": "SUITE 110",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665726",
            "telephone_number": "512-618-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 N EDWARD GARY ST",
            "address_2": "SUITE 110",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665726",
            "telephone_number": "512-618-9415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW COUNSELING AND CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-29",
        "last_updated": "2009-03-29",
        "status": "A",
        "authorized_official_last_name": "HART",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "SHANNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-618-9415",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA, LPC-S, LSOTP-S"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "15790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2009; 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.