Renee Grant

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

9631 Issued in NC

Practice address

2106 Hope Mills Rd
Fayetteville, NC 28304-4226

Phone

(910) 460-6165

NPI assigned

Mar 5, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Redeeming Life Counseling and Consulting, PLLC

  • Professional Counselor
  • Fayetteville, NC
  • NPI 1215512447
  NPD Authorized official

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

{
    "created_epoch": "1393977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615161600000",
    "number": "1649696352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25247",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283145004",
            "telephone_number": "910-460-6165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 HOPE MILLS RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283044226",
            "telephone_number": "910-460-6165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANT",
        "first_name": "RENEE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-05",
        "last_updated": "2021-03-08",
        "certification_date": "2021-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "A9631",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "9631",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101Y00000X",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Denise Grambusch, MA, LCMHCS, LCAS
• Julieanne Hollister Granados, M E.D. CCC-SLP
• Rheanna Granich
• Christopher Larry Grant, R.EEG T.
• Dorrette Patrice Grant, MD
• Ursula Grant, PSY.D
• Nicole Grates, PT, DPT
• Laquisha Gravely
• Regetta Penelope Graves-Dandridge, LPN
• Archita Lavonda Graves, LCSW

• Professional Counselor in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2021; 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.