Renew Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RENEW COUNSELING LLC

Practice address

100 Anchor Rd Ste 2
Michigan City, IN 46360-2802

Phone

(219) 608-8357

Fax

(833) 249-9175

NPI assigned

Jul 31, 2019

Organization subpart

No

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

Authorized official

Name

Dawn Yates, MSW LSWNPI 1013186782

Title

Owner/Counselor

Phone

(219) 608-8357

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Dawn Yates, MSW LSW

  • Social Worker
  • Michigan City, IN
  • NPI 1013186782
  NPD Authorized official
• Marianne V West, M.S.W., L.C.S.W.

  • Clinical Social Worker
  • South Bend, IN
  • NPI 1659695542
  NPD (past)

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

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1629622212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ANCHOR RD STE 2",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463602802",
            "telephone_number": "574-298-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ANCHOR RD STE 2",
            "city": "MICHIGAN CITY",
            "state": "IN",
            "postal_code": "463602802",
            "telephone_number": "219-608-8357",
            "fax_number": "833-249-9175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52582 State Road 933 Ste 2",
            "address_purpose": "LOCATION",
            "city": "South Bend",
            "state": "IN",
            "postal_code": "466373239",
            "country_code": "US",
            "telephone_number": "219-608-8357",
            "fax_number": "833-249-9175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENEW COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-31",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "OWNER/COUNSELOR",
        "authorized_official_telephone_number": "219-608-8357",
        "authorized_official_credential": "MSW LSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1659343911",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013186782",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Michigan City, IN
• Providers in Michigan City, IN by specialty
• Mental Health Counselor in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.