Individual provider Active NPI

Renee S Hellen, LMHC

  • Mental Health Counselor
  • Fleming Island, FL
National Provider Identifier
1689709776
Registry record updated Dec 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10660 Issued in FL
Practice address
2347 Fairfield CT
Fleming Island, FL 32003-7760
Phone
(904) 589-1665
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2616 FL
Mental Health Counselor 101YM0800X MH10660 FL Primary

Addresses

Primary practice location

2347 Fairfield CT
Fleming Island, FL 32003-7760

Mailing address

2347 Fairfield CT
Fleming Island, FL 32003-7760
Phone (904) 589-1665

Other identifiers 1

IdentifierTypeStateIssuer
2616OtherFLC.A.P.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2616FLMDAddiction (Substance Use Disorder) Counselor
MH10660FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639699200000",
    "number": "1689709776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2347 FAIRFIELD CT",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320037760",
            "telephone_number": "904-589-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2347 FAIRFIELD CT",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320037760",
            "telephone_number": "904-589-1665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLEN",
        "first_name": "RENEE",
        "middle_name": "S",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "2616",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "C.A.P.",
            "identifier": "2616",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.