Renewed Life

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RENEWED LIFE

Practice address

1141 Pepperdine LN
Sanford, FL 32771-6646

Phone

(407) 900-3518

NPI assigned

Mar 1, 2022

Organization subpart

No

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

Authorized official

Name

Melita Cogburn, LMHCNPI 1457661787

Title

Mental Health Therapist- Owner

Phone

(407) 900-3518

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melita Cogburn, B.S., M.A., LMHC

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1457661787
  NPD Authorized official

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1407502206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 W LAKE MARY BLVD STE 1010-188",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327462060",
            "telephone_number": "407-900-3518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 PEPPERDINE LN",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327716646",
            "telephone_number": "407-900-3518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED LIFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "COGBURN",
        "authorized_official_first_name": "MELITA",
        "authorized_official_title_or_position": "MENTAL HEALTH THERAPIST- OWNER",
        "authorized_official_telephone_number": "407-900-3518",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Ray Reed II
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• Laurie Anne Reid, LMFT
• Renassaince Retirement Center, LLC
• Jessica Lynn Rentas
• Daisy Renteria, PA
• Return to You Psychology LLC
• Juan Andres Revilla, BA
• Virgilio Louie Fernando Reyes Jr., PT

• Mental Health Counselor in Sanford, FL
• Providers in Sanford, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; 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.