Active NPI
Renewed Grace Counseling, LLC
- Mental Health Counselor
- Van Buren, AR
National Provider Identifier
1922956366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- RENEWED GRACE COUNSELING, LLC
- Practice address
- 1210 Mable Nell Rd
Van Buren, AR 72956-2964 - Phone
- (479) 806-3237
- NPI assigned
- Mar 20, 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
- Shawnda Elaine Wear, LPC
- Title
- Owner/Counselor
- Phone
- (479) 806-3237
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 Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1210 Mable Nell Rd
Van Buren, AR 72956-2964
Mailing address
1210 Mable Nell Rd
Van Buren, AR 72956-2964
Phone (479) 806-3237
National Provider Directory
National Provider DirectoryPractitioners & 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
- Fort Smith, AR
- NPI 1619609906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1773964800000",
"number": "1922956366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1210 MABLE NELL RD",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "729562964",
"telephone_number": "479-806-3237"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 MABLE NELL RD",
"city": "VAN BUREN",
"state": "AR",
"postal_code": "729562964",
"telephone_number": "479-806-3237"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEWED GRACE COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-20",
"last_updated": "2026-03-20",
"certification_date": "2026-03-20",
"status": "A",
"authorized_official_last_name": "WEAR",
"authorized_official_first_name": "SHAWNDA",
"authorized_official_middle_name": "ELAINE",
"authorized_official_title_or_position": "OWNER/COUNSELOR",
"authorized_official_telephone_number": "479-806-3237",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Van Buren, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.