Active NPI
Renata Huewitt, LPC, LMHC
- Professional Counselor
- Longwood, FL
National Provider Identifier
1609332402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701008065
- Practice address
- 587 E Sr 434 Unit 1021B
Longwood, FL 32750-5284 - Phone
- (407) 565-7942
- NPI assigned
- Feb 17, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701008065 | VA | Primary |
Addresses
Primary practice location
587 E Sr 434 Unit 1021B
Longwood, FL 32750-5284
Mailing address
2272 Wekiva Village LN
Apopka, FL 32703-2511
Phone (912) 572-1602
Other practice location 1
839 Pinewood Dr NW
Roanoke, VA 24017-4335
Phone (912) 572-1602
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
587 E Sr
434 Unit 1021B
Longwood, FL 32750-5284
Phone (407) 308-2994
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0701008065 | VA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivy Bridge Counseling, Inc. | Professional | Current | Accepting new patients |
Locations
587 E Sr 434
Unit 1021B
Longwood, FL 32750
Phone (407) 308-2994
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706486400000",
"number": "1609332402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2272 WEKIVA VILLAGE LN",
"city": "APOPKA",
"state": "FL",
"postal_code": "327032511",
"telephone_number": "912-572-1602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "587 E SR 434 UNIT 1021B",
"city": "LONGWOOD",
"state": "FL",
"postal_code": "327505284",
"telephone_number": "407-565-7942"
}
],
"practiceLocations": [
{
"address_1": "839 Pinewood Dr NW",
"address_purpose": "LOCATION",
"city": "Roanoke",
"state": "VA",
"postal_code": "240174335",
"country_code": "US",
"telephone_number": "912-572-1602",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HUEWITT",
"first_name": "RENATA",
"credential": "LPC, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-02-17",
"last_updated": "2024-01-29",
"certification_date": "2024-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701008065",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longwood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.