Organization Active NPI

Kaye Renshaw, P.C., Counseling and Consultation

  • Mental Health Counselor
  • Amarillo, TX
National Provider Identifier
1467618314
Registry record updated Jul 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12378 Issued in TX
Legal business name
KAYE RENSHAW, P.C., COUNSELING AND CONSULTATION
Practice address
7480 Golden Pond PL
Suite 400
Amarillo, TX 79121-1962
Phone
(806) 354-9997
Fax
(806) 354-9991
NPI assigned
Jul 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2008

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

Authorized official

Name
Prof. Kaye Lynn Renshaw, M.A., LPC, PH.D.
Title
President
Phone
(806) 354-9997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 12378 TX Primary

Addresses

Primary practice location

7480 Golden Pond PL
Suite 400
Amarillo, TX 79121-1962

Mailing address

PO Box 50660
Amarillo, TX 79159-0660
Phone (806) 354-9997

Other identifiers 5

IdentifierTypeStateIssuer
0264285-02MedicaidTX
82624LOtherTXBLUE CROSS BLUE SHIELD
0264285-01MedicaidTX
122353100OtherTXFIRST CARE SOUTHWEST LIFE AND HEALTH
216750000OtherTXMAGELLAN BEHAVIORAL HEALTH

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217462400000",
    "number": "1467618314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50660",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791590660",
            "telephone_number": "806-354-9997",
            "fax_number": "806-354-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7480 GOLDEN POND PL",
            "address_2": "SUITE 400",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791211962",
            "telephone_number": "806-354-9997",
            "fax_number": "806-354-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAYE RENSHAW, P.C., COUNSELING AND CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-31",
        "last_updated": "2008-07-31",
        "status": "A",
        "authorized_official_last_name": "RENSHAW",
        "authorized_official_first_name": "KAYE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-354-9997",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "M.A., LPC, PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "12378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0264285-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "82624L",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0264285-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST CARE SOUTHWEST LIFE AND HEALTH",
            "identifier": "122353100",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALTH",
            "identifier": "216750000",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.