Organization Active NPI

Renewed Lives, PLLC

  • Mental Health Counselor
  • Poulsbo, WA
National Provider Identifier
1891119426
Registry record updated Feb 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH60297108 Issued in WA
Legal business name
RENEWED LIVES, PLLC
Practice address
18657 State Highway 305 NE
Suite 114
Poulsbo, WA 98370-8418
Phone
(360) 779-1431
Fax
(360) 850-0237
NPI assigned
Feb 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2014

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

Authorized official

Name
John B Stringer, MA, LMHCNPI 1316241714
Title
Owner
Phone
(360) 779-1431

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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LH60297108 WA Primary

Addresses

Primary practice location

18657 State Highway 305 NE
Suite 114
Poulsbo, WA 98370-8418

Mailing address

18657 State Highway 305 NE
Suite 114
Poulsbo, WA 98370-8418
Phone (360) 779-1431

National Provider Directory

National Provider Directory

Locations

18657 State Highway 305 NE
Ste 114
Poulsbo, WA 98370
Phone (360) 536-2824

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": "1392681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392681600000",
    "number": "1891119426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18657 STATE HIGHWAY 305 NE",
            "address_2": "SUITE 114",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708418",
            "telephone_number": "360-779-1431",
            "fax_number": "360-850-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18657 STATE HIGHWAY 305 NE",
            "address_2": "SUITE 114",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983708418",
            "telephone_number": "360-779-1431",
            "fax_number": "360-850-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED LIVES, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-18",
        "last_updated": "2014-02-18",
        "status": "A",
        "authorized_official_last_name": "STRINGER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-779-1431",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH60297108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poulsbo, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2014; 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.