Organization Active NPI

Renascence Counseling Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sioux Falls, SD
National Provider Identifier
1912863929
Registry record updated Jan 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RENASCENCE COUNSELING SERVICES LLC
Practice address
5421 W 41St St Ste 204
Sioux Falls, SD 57106-1300
Phone
(605) 620-9565
NPI assigned
Jan 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2026

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

Authorized official

Name
Jessie Jean Park, LPC-MH, QMHPNPI 1164547865
Title
Expressive Therapist/Owner
Phone
(605) 610-9565

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5421 W 41St St Ste 204
Sioux Falls, SD 57106-1300

Mailing address

5421 W 41St St Ste 204
Sioux Falls, SD 57106-1300
Phone (605) 620-9565

National Provider Directory

National Provider Directory

Locations

5421 W 41st St
Ste 204
Sioux Falls, SD 57106
Phone (605) 620-9565

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": "1767398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767398400000",
    "number": "1912863929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5421 W 41ST ST STE 204",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571061300",
            "telephone_number": "605-620-9565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5421 W 41ST ST STE 204",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571061300",
            "telephone_number": "605-620-9565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENASCENCE COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-03",
        "last_updated": "2026-01-03",
        "certification_date": "2026-01-03",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "EXPRESSIVE THERAPIST/OWNER",
        "authorized_official_telephone_number": "605-610-9565",
        "authorized_official_credential": "LPC-MH, QMHP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2026; 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.