Organization Active NPI

Renewed Hope Counseling Services

  • Clinic/Center
  • Holland, MI
National Provider Identifier
1962068734
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
RENEWED HOPE COUNSELING SERVICES
Practice address
503 Century LN Ste 1
Holland, MI 49423-4318
Phone
(616) 402-7954
NPI assigned
May 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Susan Brenner, MA, LLPNPI 1013363803
Title
Owner/Counseling
Phone
(616) 402-7954

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

503 Century LN Ste 1
Holland, MI 49423-4318

Mailing address

503 Century LN Ste 1
Holland, MI 49423-4318
Phone (616) 402-7954

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241227001556 MI Part B Supplier - Clinic/Group Practice 4789111089 Receives reassigned benefits from 1 practitioner
Practice locations: Holland, MI

National Provider Directory

National Provider Directory

Locations

503 Century Ln
Holland, MI 49423
Phone (616) 377-8704

503 Century Ln
Ste 1
Holland, MI 49423
Phone (616) 402-7954

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": "1557964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1962068734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 CENTURY LN STE 1",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234318",
            "telephone_number": "616-402-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 CENTURY LN STE 1",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494234318",
            "telephone_number": "616-402-7954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED HOPE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-16",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "BRENNER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER/COUNSELING",
        "authorized_official_telephone_number": "616-402-7954",
        "authorized_official_credential": "MA, LLP"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holland, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.