NPIMap

Organization Active NPI

Renew and Transcend Wellness

Doing business as Renew & Transcend Wellness

  • Adult Mental Health Clinic/Center
  • Phoenix, AZ
National Provider Identifier
1891489555
Registry record updated Jul 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
RENEW AND TRANSCEND WELLNESS
Doing business as
Renew & Transcend Wellness
Practice address
1137 W McDowell Rd
Phoenix, AZ 85007-1747
Phone
(602) 654-3516
Fax
(602) 456-5451
NPI assigned
Jun 6, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2023

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

Authorized official

Name
Dr. Courtney Chettle, DBH, LPC
Title
Member/Manager
Phone
(480) 490-7837

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Adult Mental Health Clinic/Center 261QM0850X Primary
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1137 W McDowell Rd
Phoenix, AZ 85007-1747

Mailing address

14630 N 32ND LN
Phoenix, AZ 85053-4704
Phone (480) 490-7837

Other names 2

  • Renew & Transcend Wellness Doing business as
  • Renew & Transcend Wellness PLLC Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690243200000",
    "number": "1891489555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14630 N 32ND LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850534704",
            "telephone_number": "480-490-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1137 W MCDOWELL RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850071747",
            "telephone_number": "602-654-3516",
            "fax_number": "602-456-5451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW AND TRANSCEND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A",
        "authorized_official_last_name": "CHETTLE",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "MEMBER/MANAGER",
        "authorized_official_telephone_number": "480-490-7837",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DBH, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renew & Transcend Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Renew & Transcend Wellness PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.