Renewed Foundations LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RENEWED FOUNDATIONS LLC

Practice address

725 S Woodruff Ave Ste 401
Idaho Falls, ID 83401-5286

Phone

(208) 360-1886

NPI assigned

Oct 9, 2024

Organization subpart

No

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

Authorized official

Name

Mr. Shawn LaprayNPI 1609197383

Title

Ceo

Phone

(208) 360-1886

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shawn Lapray, LCPC

  • Mental Health Counselor
  • Ammon, ID
  • NPI 1609197383
  NPD Authorized official

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730678400000",
    "number": "1548089261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 FIRE THORN",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834044954",
            "telephone_number": "208-360-1886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S WOODRUFF AVE STE 401",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834015286",
            "telephone_number": "208-360-1886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED FOUNDATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A",
        "authorized_official_last_name": "LAPRAY",
        "authorized_official_first_name": "SHAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-360-1886",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renaissance Ranch
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• Rencher Family Practice, PA
• Mark B Rencher, MD
• Nathan S Rencher, D.O.
• James Resare, LPC
• Restoration Mental Health
• Revitalize Medical Supply
• Michael Rex, LCSW
• Fernando Reyna

• Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2024; 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.