Active NPI
Renew Hope Counseling Inc
- Community/Behavioral Health Agency
- Shipshewana, IN
National Provider Identifier
1629216130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 35001635A
- 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, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Charlene Jean Roth, LMFT
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Marriage & Family Therapist
- Shipshewana, IN
- NPI 1083862072
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
- Midwest Eye Consultants, P.C. (Midwest Eye Consultants #43)
- Mindful and Well
- Optometric Associates of South Bend (Insight Total Family Eyecare)
- Thomas Anthony Pechin II, M. D.
- Premise Health of Indiana Medical PC (Midway Lakepark - Shipshewana)
- Charlene Jean Roth, LMFT
- Harry Scott III, D.O.
- Rosemarie Ann Scottt, D.C.
- Hannah Ann Slate, M.D.
- Abigail Smith, MS
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.