Individual provider Active NPI

Renata Huewitt, LPC, LMHC

  • Professional Counselor
  • Longwood, FL
National Provider Identifier
1609332402
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701008065 Issued in VA
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

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260107000592 FL Practitioner - Mental Health Counselor 5698261956 Reassigns benefits to 1 organization

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
Ivy Bridge Counseling IncGroup PAC ID 4789170044, 2 clinicians

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

LicenseStateTypeSpecialty
0701008065VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ivy Bridge Counseling, Inc. Professional CurrentSince Nov 26, 2025 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

Verify at the official NPI Registry.