Renewed Horizon Counseling Center, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RENEWED HORIZON COUNSELING CENTER, PLLC

Practice address

2795 Max Creek Rd
Hiwassee, VA 24347-2315

Phone

(540) 250-7278

NPI assigned

Apr 13, 2026

Last updated

Apr 13, 2026By 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

Mara Fuller, DHSC, LCSWNPI 1831679497

Title

Licensed Clinical Social Worker; Ow

Phone

(540) 250-7278

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.

• Mara Michelle Fuller, LCSW

  • Clinical Social Worker
  • Galax, VA
  • NPI 1831679497
  NPD Authorized official

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

{
    "created_epoch": "1776038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1780527051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2795 MAX CREEK RD",
            "city": "HIWASSEE",
            "state": "VA",
            "postal_code": "243472315",
            "telephone_number": "540-250-7278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2795 MAX CREEK RD",
            "city": "HIWASSEE",
            "state": "VA",
            "postal_code": "243472315",
            "telephone_number": "540-250-7278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED HORIZON COUNSELING CENTER, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-12",
        "status": "A",
        "authorized_official_last_name": "FULLER",
        "authorized_official_first_name": "MARA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER; OW",
        "authorized_official_telephone_number": "540-250-7278",
        "authorized_official_credential": "DHSC, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shauna Thornton

• Clinical Social Worker in Hiwassee, VA
• Providers in Hiwassee, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.