Active NPI
Renew Church Ocoee Inc
- Mental Health Counselor
- Orlando, FL
National Provider Identifier
1487020616
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH11684
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
National Provider Directory
National Provider DirectoryNPI 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.