NPIMap

Organization Active NPI

Relationship Renovation Counseling Center

  • Community/Behavioral Health Agency
  • Tucson, AZ
National Provider Identifier
1952820243
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CSLG8288 Issued in AZ
Legal business name
RELATIONSHIP RENOVATION COUNSELING CENTER
Practice address
1717 N Tucson Blvd
Tucson, AZ 85716-3074
Phone
(520) 372-2672
NPI assigned
Sep 18, 2017
Last updated
Feb 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Authorized official

Name
Mr. Tarah Carmody Kerwin III, LMFT
Title
Partner / Licensed Clinician
Phone
(520) 697-6179

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X
Community/Behavioral Health Agency 251S00000X CSLG8288 AZ Primary

Addresses

Primary practice location

1717 N Tucson Blvd
Tucson, AZ 85716-3074

Mailing address

1661 N Swan Rd Ste 310
Tucson, AZ 85712-4075
Phone (520) 955-4809

National Provider Directory

National Provider Directory

Locations

1661 N Swan Rd
Ste 310
Tucson, AZ 85712

1717 N Tucson Blvd
Tucson, AZ 85716
Phone (520) 372-2672

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709164800000",
    "number": "1952820243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1661 N SWAN RD STE 310",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857124075",
            "telephone_number": "520-955-4809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 N TUCSON BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857163074",
            "telephone_number": "520-372-2672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELATIONSHIP RENOVATION COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-18",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A",
        "authorized_official_last_name": "KERWIN",
        "authorized_official_first_name": "TARAH",
        "authorized_official_middle_name": "CARMODY",
        "authorized_official_title_or_position": "PARTNER / LICENSED CLINICIAN",
        "authorized_official_telephone_number": "520-697-6179",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "CSLG8288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2024; 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.