Active NPI
Renew Family Therapy, Inc
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Manteca, CA
National Provider Identifier
1689402653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- RENEW FAMILY THERAPY, INC
- Practice address
- 2558 Greenleaf St
Manteca, CA 95337-8445 - Phone
- (209) 541-5154
- NPI assigned
- Jul 22, 2024
- 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. Samantha Paige Houston-Crook, LMFT
- Title
- Marriage and Family Therapist
- Phone
- (209) 541-5154
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 |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
2558 Greenleaf St
Manteca, CA 95337-8445
Mailing address
1275 W Main St Unit 703
Ripon, CA 95366-1528
Phone (909) 264-8566
National Provider Directory
National Provider DirectoryLocations
1275 W Main St
Unit 703
Ripon, CA 95366
Phone (909) 264-8566
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Manteca, CA
- NPI 1659933133
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721606400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721606400000",
"number": "1689402653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 W MAIN ST UNIT 703",
"city": "RIPON",
"state": "CA",
"postal_code": "953661528",
"telephone_number": "909-264-8566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2558 GREENLEAF ST",
"city": "MANTECA",
"state": "CA",
"postal_code": "953378445",
"telephone_number": "209-541-5154"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEW FAMILY THERAPY, INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-22",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A",
"authorized_official_last_name": "HOUSTON-CROOK",
"authorized_official_first_name": "SAMANTHA",
"authorized_official_middle_name": "PAIGE",
"authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
"authorized_official_telephone_number": "209-541-5154",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Manteca, CA
- Erielle Ann Apelo Reed, MS
- Reeves, DDS and Lavalley, DDS, a Dental Corporation (Kids Care Dental & Orthodontics - Manteca)
- Jody A Reff, PT
- Sandrine Sandrine Reffell, RRT, SDS, RCPII
- Noah Relova, DPT
- Rossellini Ayonque Renolo Jr., PHARMD
- Rescare California, Inc. (Rcca Lily)
- Rescare California, Inc. (Rcca Wawona)
- Rescare California, Inc.
- Montserrat Reteguin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.