Organization Active NPI

Renaissance Counseling Services, LLC

  • Clinical Social Worker
  • Wheeling, WV
National Provider Identifier
1912435678
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
707054 Issued in WV
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

Updated by the provider on Jul 21, 2022

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.