Organization Active NPI

Renew Consultant Group LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wayzata, MN
National Provider Identifier
1508376807
Registry record updated Oct 2, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
01106 Issued in MN
Legal business name
RENEW CONSULTANT GROUP LLC
Practice address
600 Twelve Oaks Center Dr Ste 642D
Wayzata, MN 55391-4507
Phone
(952) 999-3624
NPI assigned
Oct 2, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2017

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

Authorized official

Name
Linda Beutel, LPCCNPI 1588057392
Title
Owner
Phone
(612) 723-7230

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X 01106 MN Primary

Addresses

Primary practice location

600 Twelve Oaks Center Dr Ste 642D
Wayzata, MN 55391-4507

Mailing address

5865 Division St
Excelsior, MN 55331-3251
Phone (612) 723-7230

National Provider Directory

National Provider Directory

Locations

600 Twelve Oaks Center Dr
Ste 642D
Wayzata, MN 55391
Phone (952) 345-4520

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": "1506902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506902400000",
    "number": "1508376807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5865 DIVISION ST",
            "city": "EXCELSIOR",
            "state": "MN",
            "postal_code": "553313251",
            "telephone_number": "612-723-7230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 TWELVE OAKS CENTER DR STE 642D",
            "city": "WAYZATA",
            "state": "MN",
            "postal_code": "553914507",
            "telephone_number": "952-999-3624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW CONSULTANT GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-02",
        "last_updated": "2017-10-02",
        "status": "A",
        "authorized_official_last_name": "BEUTEL",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-723-7230",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "MN",
            "license": "01106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayzata, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2017; 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.