Organization Active NPI

Renew Church Ocoee Inc

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1487020616
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH11684 Issued in FL
Legal business name
RENEW CHURCH OCOEE INC
Doing business as
Renew Counseling
Practice address
1417 N Semoran Blvd Ste 201
Orlando, FL 32807-3555
Phone
(321) 300-6992
NPI assigned
Aug 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Tiffany Jones
Title
Secretary
Phone
(321) 300-6992

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH11684 FL Primary

Addresses

Primary practice location

1417 N Semoran Blvd Ste 201
Orlando, FL 32807-3555

Mailing address

1746 E Silver Star Rd
Ocoee, FL 34761-7014
Phone (321) 300-6992

Other names 1

  • Renew Counseling Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1487020616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 E SILVER STAR RD",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347617014",
            "telephone_number": "321-300-6992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 N SEMORAN BLVD STE 201",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073555",
            "telephone_number": "321-300-6992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW CHURCH OCOEE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "321-300-6992"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renew Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.