Active NPI
Renaissance Counseling Services, LLC
- Clinical Social Worker
- Wheeling, WV
National Provider Identifier
1912435678
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 707054
- Legal business name
- RENAISSANCE COUNSELING SERVICES, LLC
- Practice address
- 1025 Main St Ste 315
Wheeling, WV 26003-2726 - Phone
- (304) 639-8140
- Fax
- (304) 232-0120
- NPI assigned
- May 25, 2017
- 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
- James L Heagy, LCSW
- Title
- Owner, Provider
- Phone
- (304) 639-8140
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 707054 | WV | Primary |
Addresses
Primary practice location
1025 Main St Ste 315
Wheeling, WV 26003-2726
Mailing address
1025 Main St Ste 315
Wheeling, WV 26003-2726
Phone (304) 639-8140
National Provider Directory
National Provider DirectoryLocations
1025 Main St
Ste 315
Wheeling, WV 26003
Phone (304) 639-8140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495670400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1912435678",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025 MAIN ST STE 315",
"city": "WHEELING",
"state": "WV",
"postal_code": "260032726",
"telephone_number": "304-639-8140",
"fax_number": "304-232-0120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025 MAIN ST STE 315",
"city": "WHEELING",
"state": "WV",
"postal_code": "260032726",
"telephone_number": "304-639-8140",
"fax_number": "304-232-0120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENAISSANCE COUNSELING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-05-25",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "HEAGY",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER, PROVIDER",
"authorized_official_telephone_number": "304-639-8140",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "WV",
"license": "707054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.