Active NPI
Renew Life Counseling Services
- Clinical Social Worker
- Mechanicsburg, PA
National Provider Identifier
1831865435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- RENEW LIFE COUNSELING SERVICES
- Practice address
- 102A W Main St Ste 2
Mechanicsburg, PA 17055-6229 - Phone
- (717) 557-5357
- NPI assigned
- Aug 23, 2021
- 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
- Delyara Becker
- Title
- LCSW
- Phone
- (717) 557-5357
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
102A W Main St Ste 2
Mechanicsburg, PA 17055-6229
Mailing address
102A W Main St Ste 2
Mechanicsburg, PA 17055-6229
Phone (717) 557-5357
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | SimplePractice |
National Provider Directory
National Provider DirectoryLocations
102A W Main St
Ste 2
Mechanicsburg, PA 17055
Phone (717) 557-5357
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Mechanicsburg, PA
- NPI 1316317050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629676800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1629676800000",
"number": "1831865435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102A W MAIN ST STE 2",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170556229",
"telephone_number": "717-557-5357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102A W MAIN ST STE 2",
"city": "MECHANICSBURG",
"state": "PA",
"postal_code": "170556229",
"telephone_number": "717-557-5357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEW LIFE COUNSELING SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-23",
"last_updated": "2021-08-23",
"certification_date": "2021-08-23",
"status": "A",
"authorized_official_last_name": "BECKER",
"authorized_official_first_name": "DELYARA",
"authorized_official_title_or_position": "LCSW",
"authorized_official_telephone_number": "717-557-5357"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "SimplePractice",
"affiliation": "N",
"address_1": "102A W Main St Ste 2",
"city": "Mechanicsburg",
"state": "PA",
"country_code": "US",
"postal_code": "170556229",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mechanicsburg, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.