Organization Active NPI

Renew Counseling Center

  • Marriage & Family Therapist
  • Clovis, CA
National Provider Identifier
1417586355
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
RENEW COUNSELING CENTER
Practice address
1002 Las Rosas Ave
Clovis, CA 93619-7937
Phone
(559) 593-3570
Fax
(877) 894-5104
NPI assigned
Apr 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Authorized official

Name
Silva Sheklanian, LMFTNPI 1649306564
Title
Owner
Phone
(559) 593-3570

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
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1002 Las Rosas Ave
Clovis, CA 93619-7937

Mailing address

1002 Las Rosas Ave
Clovis, CA 93619-7937
Phone (559) 593-3570

Other identifiers 1

IdentifierTypeStateIssuer
1177991OtherCALMFT LICENSE

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": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585872000000",
    "number": "1417586355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 LAS ROSAS AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936197937",
            "telephone_number": "559-593-3570",
            "fax_number": "877-894-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 LAS ROSAS AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936197937",
            "telephone_number": "559-593-3570",
            "fax_number": "877-894-5104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A",
        "authorized_official_last_name": "SHEKLANIAN",
        "authorized_official_first_name": "SILVA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-593-3570",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMFT LICENSE",
            "identifier": "1177991",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.