Active NPI
Renee S Hellen, LMHC
- Mental Health Counselor
- Fleming Island, FL
National Provider Identifier
1689709776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH10660
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2616 | Other | FL | C.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
| License | State | Type | Specialty |
|---|---|---|---|
| 2616 | FL | MD | Addiction (Substance Use Disorder) Counselor |
| MH10660 | FL | MD | Mental 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.