Renew Counseling Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RENEW COUNSELING SERVICES LLC

Doing business as

Renew Counseling Services

Practice address

750 George Washington Way Ste 8
Richland, WA 99352-4247

Phone

(509) 676-6735

NPI assigned

Aug 16, 2019

Last updated

Oct 13, 2022By 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

Jessica Marie Wallace, MA, LMHC, NCCNPI 1427604248

Title

Owner

Phone

(509) 676-6735

Specialties & licenses 1

Addresses

Other names 1

• Renew Counseling Services Doing business as

Locations

Practitioners 2

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.

• Jessica Marie Wallace, MA, LMHCA, NCC

  • Mental Health Counselor
  • Richland, WA
  • NPI 1427604248
  NPD Authorized official
• Steven Lane Wallace

  • Mental Health Counselor
  • Richland, WA
  • NPI 1528848926
  NPD

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1841846664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 GEORGE WASHINGTON WAY STE 8",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524247",
            "telephone_number": "509-676-6735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 GEORGE WASHINGTON WAY STE 8",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993524247",
            "telephone_number": "509-676-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-676-6735",
        "authorized_official_credential": "MA, LMHC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renew Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Renewal Adult Family Home
• Renewed Hope Psychiatry
• Renewed Pathway, PLLC
• Kelby Lyn Renfro, RN
• Katelyn Reseck, LMHCA, LMFTA

• Mental Health Counselor in Richland, WA
• Providers in Richland, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.