Renew Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LCPC 266 Issued in KS

Legal business name

RENEW INC

Doing business as

Renew Eating Disorder Recovery

Practice address

11695 S Blackbob Rd
Olathe, KS 66062-1020

Phone

(913) 768-6606

Fax

(913) 768-6609

NPI assigned

Nov 20, 2009

Organization subpart

No

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

Authorized official

Name

Koreen D Hintz-Bohn, LCPC

Title

Executive Director

Phone

(913) 768-6606

Specialties & licenses 7

Addresses

Other names 1

• Renew Eating Disorder Recovery Doing business as

Locations

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

{
    "created_epoch": "1258675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258675200000",
    "number": "1427386952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11695 S BLACKBOB RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621020",
            "telephone_number": "913-768-6606",
            "fax_number": "913-768-6609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11695 S BLACKBOB RD",
            "city": "OLATHE",
            "state": "KS",
            "postal_code": "660621020",
            "telephone_number": "913-768-6606",
            "fax_number": "913-768-6609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-20",
        "last_updated": "2009-11-20",
        "status": "A",
        "authorized_official_last_name": "HINTZ-BOHN",
        "authorized_official_first_name": "KOREEN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "913-768-6606",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "LCPC 730",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "LCPC 266",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "KS",
            "license": "LPC 1879",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "KS",
            "license": "LCP 921",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "LMFT 1043",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "KS",
            "license": "LMFT 910",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "KS",
            "license": "R601192",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renew Eating Disorder Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in Olathe, KS
• Providers in Olathe, KS by specialty
• Professional Counselor in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.