Organization Active NPI

Renew Hope Counseling Inc

  • Community/Behavioral Health Agency
  • Shipshewana, IN
National Provider Identifier
1629216130
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
35001635A Issued in IN
Legal business name
RENEW HOPE COUNSELING INC
Practice address
5460 N 450 W
Shipshewana, IN 46565-8504
Phone
(260) 463-6915
NPI assigned
Jan 22, 2009
Last updated
Jan 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

Name
Mrs. Charlene Jean Roth, LMFTNPI 1083862072
Title
Owner/Therapist
Phone
(260) 463-6915

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 35001635A IN Primary

Addresses

Primary practice location

5460 N 450 W
Shipshewana, IN 46565-8504

Mailing address

PO Box 292
Lagrange, IN 46761-0292
Phone (260) 463-6915

National Provider Directory

National Provider Directory

Locations

5460 N 450 W
Shipshewana, IN 46565
Phone (260) 463-6915

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1232582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1629216130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 292",
            "city": "LAGRANGE",
            "state": "IN",
            "postal_code": "467610292",
            "telephone_number": "260-463-6915",
            "fax_number": "260-499-4158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5460 N 450 W",
            "city": "SHIPSHEWANA",
            "state": "IN",
            "postal_code": "465658504",
            "telephone_number": "260-463-6915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW HOPE COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "ROTH",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "260-463-6915",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "IN",
            "license": "35001635A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shipshewana, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.