Organization Active NPI

Grounded Renewal Counseling LLC

  • Mental Health Counselor
  • Live Oak, FL
National Provider Identifier
1902780976
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GROUNDED RENEWAL COUNSELING LLC
Practice address
9289 141St LN
Live Oak, FL 32060-6393
Phone
(850) 253-7709
NPI assigned
Aug 4, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Authorized official

Name
Jill Leighann HodgesNPI 1598277808
Title
Owner
Phone
(850) 253-7709

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

9289 141St LN
Live Oak, FL 32060-6393

Mailing address

9289 141St LN
Live Oak, FL 32060-6393
Phone (850) 253-7709

National Provider Directory

National Provider Directory

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": "1754265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754352000000",
    "number": "1902780976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9289 141ST LN",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320606393",
            "telephone_number": "850-253-7709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9289 141ST LN",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320606393",
            "telephone_number": "850-253-7709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUNDED RENEWAL COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-04",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "LEIGHANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-253-7709"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.