Active NPI
Renewed Hope Counseling & Wellness
- Community/Behavioral Health Agency
- Meridian, ID
National Provider Identifier
1912388554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- LPC-5837
- Legal business name
- RENEWED HOPE COUNSELING & WELLNESS
- Practice address
- 1550 N Crestmont Dr Ste E
Meridian, ID 83642-2177 - Phone
- (208) 288-4200
- Fax
- (208) 288-4279
- NPI assigned
- Jun 9, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Audra Shaw
- Title
- Office Manager
- Phone
- (208) 288-4200
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | LPC-5837 | ID | Primary |
Addresses
Primary practice location
1550 N Crestmont Dr Ste E
Meridian, ID 83642-2177
Mailing address
1550 N Crestmont Dr Ste E
Meridian, ID 83642-2177
Phone (208) 288-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LPC-5837 | Other | ID | LPC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Nampa, ID
- NPI 1205025525
-
- Psychiatric/Mental Health Nurse Practitioner
- Meridian, ID
- NPI 1518209196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433808000000",
"number": "1912388554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 N CRESTMONT DR STE E",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836422177",
"telephone_number": "208-288-4200",
"fax_number": "208-288-4279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 N CRESTMONT DR STE E",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836422177",
"telephone_number": "208-288-4200",
"fax_number": "208-288-4279"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEWED HOPE COUNSELING & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-09",
"last_updated": "2015-06-09",
"status": "A",
"authorized_official_last_name": "SHAW",
"authorized_official_first_name": "AUDRA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "208-288-4200",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "ID",
"license": "LPC-5837",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LPC",
"identifier": "LPC-5837",
"state": "ID"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.