Organization Active NPI

Renaissance Wellness Services, LLC

  • Mental Health Counselor
  • Pittsboro, NC
National Provider Identifier
1407303126
Registry record updated Jul 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
10075 Issued in NC
Legal business name
RENAISSANCE WELLNESS SERVICES, LLC
Practice address
288 East St Ste 1001-F7
Pittsboro, NC 27312
Phone
(919) 704-8449
Fax
(919) 704-8617
NPI assigned
Sep 10, 2016
Last updated
Jul 28, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2018

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

Authorized official

Name
Dr. Karen Nicole Barbee, EDD, LPC, LCASA, NCC
Title
Owner
Phone
(919) 704-8449

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 20589 NC
Mental Health Counselor 101YM0800X 10075 NC Primary

Addresses

Primary practice location

288 East St Ste 1001-F7
Pittsboro, NC 27312

Mailing address

288 East St Ste 1001-F7
Pittsboro, NC 27312-9711
Phone (919) 704-8449

Other practice location 1

300 W Earp St
Holly Springs, NC 27540-8763
Phone (919) 704-8449

National Provider Directory

National Provider Directory
Tax ID family
Renaissance Wellness Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1473465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532736000000",
    "number": "1407303126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 EAST ST STE 1001-F7",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "273129711",
            "telephone_number": "919-704-8449",
            "fax_number": "919-704-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 EAST ST STE 1001-F7",
            "city": "PITTSBORO",
            "state": "NC",
            "postal_code": "27312",
            "telephone_number": "919-704-8449",
            "fax_number": "919-704-8617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W Earp St",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "NC",
            "postal_code": "275408763",
            "country_code": "US",
            "telephone_number": "919-704-8449",
            "fax_number": "919-704-8617",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENAISSANCE WELLNESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-10",
        "last_updated": "2018-07-28",
        "status": "A",
        "authorized_official_last_name": "BARBEE",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-704-8449",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD, LPC, LCASA, NCC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "20589",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "10075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2018; 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.