Organization Active NPI

Renewal Counseling Group PLLC

  • Mental Health Counselor
  • Lake in the Hills, IL
National Provider Identifier
1467026401
Registry record updated Jun 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RENEWAL COUNSELING GROUP PLLC
Practice address
1301 Pyott Rd Ste 208a
Lake in the Hills, IL 60156-9798
Phone
(224) 326-4200
NPI assigned
May 14, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2023

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

Authorized official

Name
Melanie Wall, LCPC, CADCNPI 1518142330
Title
Owner
Phone
(224) 326-4200

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

1301 Pyott Rd Ste 208a
Lake in the Hills, IL 60156-9798

Mailing address

808 E Oak Street Unit 1a
Lake in the Hills, IL 60156-3365
Phone (224) 326-4200

National Provider Directory

National Provider Directory

Locations

1301 Pyott Rd
Ste 208A
Lake in the Hills, IL 60156
Phone (224) 214-0738

880 E Oak St
Unit 1A
Lake in the Hills, IL 60156
Phone (224) 326-4200

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": "1620950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688083200000",
    "number": "1467026401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 E OAK STREET UNIT 1A",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601563365",
            "telephone_number": "224-326-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PYOTT RD STE 208A",
            "city": "LAKE IN THE HILLS",
            "state": "IL",
            "postal_code": "601569798",
            "telephone_number": "224-326-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWAL COUNSELING GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-14",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-326-4200",
        "authorized_official_credential": "LCPC, CADC"
    },
    "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 Lake in the Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.