Organization Active NPI

Renew Counseling and Wellness LLC

  • Clinical Social Worker
  • North Pole, AK
National Provider Identifier
1831925957
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
RENEW COUNSELING AND WELLNESS LLC
Practice address
1295 Jacquelyn LN
North Pole, AK 99705-5625
Phone
(907) 888-5961
NPI assigned
Sep 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Authorized official

Name
Beth Esparza
Title
Billing Representative
Phone
(907) 459-8200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1295 Jacquelyn LN
North Pole, AK 99705-5625

Mailing address

1295 Jacquelyn LN
North Pole, AK 99705-5625
Phone (907) 888-5964

Other names 1

  • Renew Counseling and Wellness LLC Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Renew Counseling and Wellness LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1831925957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 JACQUELYN LN",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997055625",
            "telephone_number": "907-888-5964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1295 JACQUELYN LN",
            "city": "NORTH POLE",
            "state": "AK",
            "postal_code": "997055625",
            "telephone_number": "907-888-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW COUNSELING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "ESPARZA",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "BILLING REPRESENTATIVE",
        "authorized_official_telephone_number": "907-459-8200"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renew Counseling and Wellness LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Pole, AK

Sources for this page

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