Renewed Life Counseling, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RENEWED LIFE COUNSELING, LLC

Practice address

6101 E Sternberg Rd
Fruitport, MI 49415-9739

Phone

(231) 769-0077

NPI assigned

Oct 23, 2023

Organization subpart

No

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

Authorized official

Name

Trisha King, LMSW, CCATP, ASDCSNPI 1427534726

Title

Owner/Clinicial Social Worker

Phone

(231) 769-0077

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Trisha King, LMSW

  • Clinical Social Worker
  • Norton Shores, MI
  • NPI 1427534726
  NPD Authorized official

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1861264038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 E STERNBERG RD",
            "city": "FRUITPORT",
            "state": "MI",
            "postal_code": "494159739",
            "telephone_number": "231-769-0077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6101 E STERNBERG RD",
            "city": "FRUITPORT",
            "state": "MI",
            "postal_code": "494159739",
            "telephone_number": "231-769-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED LIFE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "TRISHA",
        "authorized_official_title_or_position": "OWNER/CLINICIAL SOCIAL WORKER",
        "authorized_official_telephone_number": "231-769-0077",
        "authorized_official_credential": "LMSW, CCATP, ASDCS"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Lynn Osborne, OD
• Susan Peterson
• Marykay Radford
• Sandra Raehtz, DO
• Sharolyn Rankin
• Nadia Rentia, MD
• Restoring Harmony Counseling Services LLC
• Donna Lynn Rick, D.D.S.
• Rocking Horse Ranch Afc Home
• Darrell S Roelandt, DO

• All providers in Fruitport, MI
• Mental Health Clinic/Center (Including Community Mental Health Center) in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.