Individual provider Active NPI

Renee Patricia Lewis, LCPC, LCADC, NBCC

  • Professional Counselor
  • Owings Mills, MD
National Provider Identifier
1720229701
Registry record updated Nov 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC6681 Issued in MD
Practice address
10208 Cascade Run CT
Owings Mills, MD 21117-5836
Phone
(443) 889-2569
NPI assigned
Mar 20, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC6681 MD Primary

Addresses

Primary practice location

10208 Cascade Run CT
Owings Mills, MD 21117-5836

Mailing address

10208 Cascade Run CT
Owings Mills, MD 21117-5836
Phone (443) 889-2569

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Space for Grace, LLC CurrentSince Nov 1, 2020 Accepting new patients
American Psychiatric Group PA Past Accepting new patients
American Psychiatric Group, P.a. Past Accepting new patients
American Psychiatric Group, P.a. Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605052800000",
    "number": "1720229701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10208 CASCADE RUN CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175836",
            "telephone_number": "443-889-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10208 CASCADE RUN CT",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211175836",
            "telephone_number": "443-889-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "RENEE",
        "middle_name": "PATRICIA",
        "name_prefix": "Ms.",
        "credential": "LCPC, LCADC, NBCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-20",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC6681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.