Renaissance Counseling Center

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

2190 Issued in MS

Legal business name

RENAISSANCE COUNSELING CENTER

Practice address

11070 David St
Gulfport, MS 39503-3481

Phone

(228) 832-9191

Fax

(228) 832-9150

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Brenda G Cruso

Title

Office Manager

Phone

(228) 832-9191

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Gregory Lee Taylor, APRN-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Biloxi, MS
  • NPI 1699844894
  NPD (past)

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689684102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11070 DAVID ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033481",
            "telephone_number": "228-832-9191",
            "fax_number": "228-832-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11070 DAVID ST",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033481",
            "telephone_number": "228-832-9191",
            "fax_number": "228-832-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRUSO",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "228-832-9191",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "2190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09014941",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reggie H. Broom, D.M.D., P.a.
• Jo Ellen Reid, LCSW
• Sarah Rein
• Amy Remel
• Jeremy Lynn Remillard, FNP
• Joni D Renbarger, PSY.D.
• Renew Counseling and Therapy Services LLC
• Priscilla M. Renwick, NURSE PRACTITIONER
• Resilience Psychotherapy, PLLC
• Resonance Laboratories LLC

• All providers in Gulfport, MS
• Psychiatry Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.