Organization Active NPI

Renewing Paths Counseling Services, PLLC

  • Mental Health Counselor
  • Wake Forest, NC
National Provider Identifier
1407610132
Registry record updated Aug 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RENEWING PATHS COUNSELING SERVICES, PLLC
Practice address
2006 S Main St Ste 206
Wake Forest, NC 27587-9391
Phone
(919) 671-6438
NPI assigned
Feb 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2026

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

Authorized official

Name
Jeremy Phan, MA, LCMHC, NCCNPI 1851030126
Title
Ownwer/Therapist
Phone
(919) 671-6438

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: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2006 S Main St Ste 206
Wake Forest, NC 27587-9391

Mailing address

2006 S Main St Ste 206
Wake Forest, NC 27587-9391
Phone (919) 671-6438

National Provider Directory

National Provider Directory

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": "1707782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787270400000",
    "number": "1407610132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 S MAIN ST STE 206",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879391",
            "telephone_number": "919-671-6438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 S MAIN ST STE 206",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275879391",
            "telephone_number": "919-671-6438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWING PATHS COUNSELING SERVICES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-13",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-21",
        "status": "A",
        "authorized_official_last_name": "PHAN",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "OWNWER/THERAPIST",
        "authorized_official_telephone_number": "919-671-6438",
        "authorized_official_credential": "MA, LCMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wake Forest, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.