Organization Active NPI

Renewed Counseling Service

  • Community/Behavioral Health Agency
  • San Antonio, TX
National Provider Identifier
1518234194
Registry record updated Nov 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
63113 Issued in TX
Legal business name
RENEWED COUNSELING SERVICE
Practice address
1800 NE Loop 410
Suite 209
San Antonio, TX 78217-5213
Phone
(210) 289-8405
Fax
(210) 679-6705
NPI assigned
Nov 25, 2011
Last updated
Nov 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2011

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

Authorized official

Name
Tari Suzette Dempsey, LPC
Title
Owner
Phone
(210) 289-8405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 63113 TX Primary

Addresses

Primary practice location

1800 NE Loop 410
Suite 209
San Antonio, TX 78217-5213

Mailing address

13051 Grove PT
San Antonio, TX 78253-5755
Phone (210) 289-8405

Other identifiers 1

IdentifierTypeStateIssuer
202676701MedicaidTX

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1322179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322179200000",
    "number": "1518234194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13051 GROVE PT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782535755",
            "telephone_number": "210-289-8405",
            "fax_number": "210-679-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 NE LOOP 410",
            "address_2": "SUITE 209",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782175213",
            "telephone_number": "210-289-8405",
            "fax_number": "210-679-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-25",
        "last_updated": "2011-11-25",
        "status": "A",
        "authorized_official_last_name": "DEMPSEY",
        "authorized_official_first_name": "TARI",
        "authorized_official_middle_name": "SUZETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-289-8405",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TX",
            "license": "63113",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202676701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2011; 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.