NPIMap

Organization Active NPI

Renewal Christian Counseling Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mount Clemens, MI
National Provider Identifier
1548211535
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RENEWAL CHRISTIAN COUNSELING INC
Practice address
100 NB Gratiot Ave
Mount Clemens, MI 48043-2301
Phone
(586) 783-2950
Fax
(586) 690-4333
NPI assigned
May 13, 2006
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Abigail R Miller
Title
Office Manager
Phone
(586) 783-2950

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MI
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X MI
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X MI
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

100 NB Gratiot Ave
Mount Clemens, MI 48043-2301

Mailing address

100 NB Gratiot Ave
Mount Clemens, MI 48043-2301
Phone (586) 783-2950

Other practice location 1

220 W Main St
Midland, MI 48640-5184
Phone (989) 244-1888

Other practice location 2

3847 Pine Grove Ave Ste B
Fort Gratiot, MI 48059-4265
Phone (810) 966-0099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051103000836 MI Part B Supplier - Clinic/Group Practice 5496773863 Receives reassigned benefits from 32 practitioners
Practice locations: Mount Clemens, MI; Port Huron, MI; Saginaw, MI; Midland, MI

National Provider Directory

National Provider Directory
Tax ID family
Renewal Christian Counseling Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

200 S Wenona St
Ste 194
Bay City, MI 48706
Phone (989) 244-1888

610 Adams St
Bay City, MI 48708
Phone (989) 244-1888

800 Washington Ave
Ste 100
Bay City, MI 48708
Phone (989) 244-1888

24401 Capital Blvd
Clinton Twp, MI 48036
Phone (586) 783-2950

3847 Pine Grove Ave
Ste B
Fort Gratiot, MI 48059
Phone (810) 966-7801

3899 24th Ave
Fort Gratiot, MI 48059

377 Fisher Rd
Ste C
Grosse Pointe, MI 48230
Phone (313) 355-4840

21336 Mack Ave
Grosse Pointe Woods, MI 48236
Phone (586) 783-2950

4975 W Water St
Kimball, MI 48074

5801 Griswold Rd
Kimball, MI 48074
Phone (810) 696-7339

220 W Main St
Midland, MI 48640
Phone (989) 244-1888

220 W Main St
Ste 206
Midland, MI 48640
Phone (989) 244-1888

5816 Eastman Ave
Midland, MI 48640
Phone (989) 244-1888

100 Northbound Gratiot Ave
Ste A
Mount Clemens, MI 48043
Phone (586) 783-2950

1221 Garfield St
Port Huron, MI 48060

1617 Holland Ave
Port Huron, MI 48060

200 32nd St
Port Huron, MI 48060

2615 Hancock St
Port Huron, MI 48060

2801 Vanness St
Port Huron, MI 48060

2855 Michigan Rd
Port Huron, MI 48060

3525 24th St
Port Huron, MI 48060

511 Fort St
Rm 505
Port Huron, MI 48060

834 Chestnut St
Port Huron, MI 48060

6030 Bay Rd
Saginaw, MI 48604
Phone (989) 244-1888

Practitioners & affiliated clinicians

Practitioners 63

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.

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1548211535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 NB GRATIOT AVE",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432301",
            "telephone_number": "586-783-2950",
            "fax_number": "586-690-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NB GRATIOT AVE",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432301",
            "telephone_number": "586-783-2950",
            "fax_number": "586-690-4333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 W Main St",
            "address_purpose": "LOCATION",
            "city": "Midland",
            "state": "MI",
            "postal_code": "486405184",
            "country_code": "US",
            "telephone_number": "989-244-1888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3847 Pine Grove Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Fort Gratiot",
            "state": "MI",
            "postal_code": "480594265",
            "country_code": "US",
            "telephone_number": "810-966-0099",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENEWAL CHRISTIAN COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-13",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "ABIGAIL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "586-783-2950"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Clemens, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.