Organization Active NPI

Renewal Counseling & Wellness, LLC

  • Professional Counselor
  • Highland Park, NJ
National Provider Identifier
1649055237
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
RENEWAL COUNSELING & WELLNESS, LLC
Practice address
320 Raritan Ave Ste 204
Highland Park, NJ 08904-2752
Phone
(732) 996-0333
NPI assigned
Aug 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Authorized official

Name
Carissa Vascimini, LPCNPI 1689398158
Title
Owner
Phone
(732) 996-0333

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

320 Raritan Ave Ste 204
Highland Park, NJ 08904-2752

Mailing address

127 Cold Indian Springs Rd
Ocean, NJ 07712-3248

National Provider Directory

National Provider Directory

Locations

320 Raritan Ave
Ste 204
Highland Park, NJ 08904
Phone (732) 996-0333

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1649055237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 COLD INDIAN SPRINGS RD",
            "city": "OCEAN",
            "state": "NJ",
            "postal_code": "077123248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 RARITAN AVE STE 204",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042752",
            "telephone_number": "732-996-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWAL COUNSELING & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "VASCIMINI",
        "authorized_official_first_name": "CARISSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-996-0333",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.