Active NPI
Renewed Life Counseling
- Clinical Social Worker
- Omaha, NE
National Provider Identifier
1720769904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- RENEWED LIFE COUNSELING
- Practice address
- 13520 Discovery Dr Ste 202
Omaha, NE 68137-3002 - Phone
- (402) 915-8344
- NPI assigned
- Jul 31, 2023
- 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
- Ms. Haley Renea Stroud, LICSW, PLADC, MSCJ
- Title
- Clinician/Owner
- Phone
- (402) 831-0024
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
13520 Discovery Dr Ste 202
Omaha, NE 68137-3002
Mailing address
3076 Stephanos Drive
Lincoln, NE 68516
Phone (402) 831-0024
National Provider Directory
National Provider DirectoryLocations
13750 Millard Ave
Ste 202
Omaha, NE 68137
13520 Discovery Dr
Ste 202
Omaha, NE 68137
Phone (402) 915-8344
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698278400000",
"number": "1720769904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3076 STEPHANOS DRIVE",
"city": "LINCOLN",
"state": "NE",
"postal_code": "68516",
"telephone_number": "402-831-0024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13520 DISCOVERY DR STE 202",
"city": "OMAHA",
"state": "NE",
"postal_code": "681373002",
"telephone_number": "402-915-8344"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEWED LIFE COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-31",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A",
"authorized_official_last_name": "STROUD",
"authorized_official_first_name": "HALEY",
"authorized_official_middle_name": "RENEA",
"authorized_official_title_or_position": "CLINICIAN/OWNER",
"authorized_official_telephone_number": "402-831-0024",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LICSW, PLADC, MSCJ"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.