Organization Active NPI

Renewal Mental Health Services

  • Counselor
  • Omaha, NE
National Provider Identifier
1881851707
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
52 Issued in NE
Legal business name
RENEWAL MENTAL HEALTH SERVICES
Practice address
2405 S 130TH Cir
Omaha, NE 68144-2528
Phone
(402) 891-8882
Fax
(402) 891-8883
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Judy Devries
Title
Partner
Phone
(402) 891-8882

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101Y00000X 52 NE Primary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X 1452 NE

Addresses

Primary practice location

2405 S 130TH Cir
Omaha, NE 68144-2528

Mailing address

2405 S 130TH Cir
Omaha, NE 68144-2528
Phone (402) 891-8882

National Provider Directory

National Provider Directory

Locations

2405 S 130th Cir
Omaha, NE 68144
Phone (402) 618-0085

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": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1881851707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2405 S 130TH CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442528",
            "telephone_number": "402-891-8882",
            "fax_number": "402-891-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2405 S 130TH CIR",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442528",
            "telephone_number": "402-891-8882",
            "fax_number": "402-891-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWAL MENTAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "DEVRIES",
        "authorized_official_first_name": "JUDY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "402-891-8882"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NE",
            "license": "52",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "NE",
            "license": "1452",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; 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.