Organization Active NPI

Renewed Grace Counseling, LLC

  • Mental Health Counselor
  • Van Buren, AR
National Provider Identifier
1922956366
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
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

Updated by the provider on Mar 20, 2026

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

Authorized official

Name
Shawnda Elaine Wear, LPCNPI 1619609906
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)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

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": "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.

Verify at the official NPI Registry.