Organization Active NPI

Renewed Hope Counseling & Wellness

  • Community/Behavioral Health Agency
  • Meridian, ID
National Provider Identifier
1912388554
Registry record updated Jun 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC-5837 Issued in ID
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

Updated by the provider on Jun 9, 2015

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
LPC-5837OtherIDLPC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "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.

Verify at the official NPI Registry.