Active NPI
Renascence Counseling Services LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sioux Falls, SD
National Provider Identifier
1912863929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessie Jean Park, LPC-MH, QMHP
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Mental Health Counselor
- Sioux Falls, SD
- NPI 1164547865
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.