Active NPI
Renewed Vision Personal & Career Counseling/Consulting
- Professional Counselor
- Charlotte, NC
National Provider Identifier
1508390709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- RENEWED VISION PERSONAL & CAREER COUNSELING/CONSULTING
- Practice address
- 10130 Mallard Creek Rd Ste 300
Charlotte, NC 28262-6001 - Phone
- (980) 689-4127
- NPI assigned
- Apr 13, 2017
- Last updated
- Feb 21, 2020
- 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
- Dr. Terri Lynn Tilford, LPC
- Title
- Owner/Counselor
- Phone
- (980) 298-2162
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | 6401002086 | MI |
Addresses
Primary practice location
10130 Mallard Creek Rd Ste 300
Charlotte, NC 28262-6001
Mailing address
10130 Mallard Creek Rd Ste 300
Charlotte, NC 28262-6001
Phone (980) 689-4127
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Charlotte, NC
- NPI 1003213570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492041600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582243200000",
"number": "1508390709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10130 MALLARD CREEK RD STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282626001",
"telephone_number": "980-689-4127"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10130 MALLARD CREEK RD STE 300",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282626001",
"telephone_number": "980-689-4127"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEWED VISION PERSONAL & CAREER COUNSELING/CONSULTING",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-13",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A",
"authorized_official_last_name": "TILFORD",
"authorized_official_first_name": "TERRI",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER/COUNSELOR",
"authorized_official_telephone_number": "980-298-2162",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "MI",
"license": "6401002086",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Renewed Purpose Care LLC
- Renewed Purpose Care LLC
- Renewed Resilience, PLLC
- Renewed Vision Family & Community & Mental Health Services, Inc.
- Renewed Vision Family, Community and Mental Health Services
- Renewing Families, LLC
- Cameron Lily Susan Renfro
- Mary Renfro, CFM
- Stephen Ford Renfrow Jr., MD
- Sarah Renn, RDN, LDN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.