Renewal & Healing Behavioral Health, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

RENEWAL & HEALING BEHAVIORAL HEALTH, LLC

Practice address

17160 W North Ave Ste 201
Brookfield, WI 53005-4437

Phone

(414) 640-9574

NPI assigned

Mar 29, 2024

Last updated

Mar 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kimberly Ann Greenwald, LPC, SAC

Title

Mental Health Counselor

Phone

(414) 640-9574

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Ann Zacher, MS, LPC, SAC

  • Professional Counselor
  • Brookfield, WI
  • NPI 1457872384
  NPD

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

{
    "created_epoch": "1711670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1730930439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17160 W NORTH AVE STE 201",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054437",
            "telephone_number": "414-640-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17160 W NORTH AVE STE 201",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530054437",
            "telephone_number": "414-640-9574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWAL & HEALING BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-29",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "GREENWALD",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "414-640-9574",
        "authorized_official_credential": "LPC, SAC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Brookfield, WI
• Providers in Brookfield, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2024; 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.