Organization Active NPI

Renew Counseling and Services

  • Clinical Social Worker
  • Gainesville, VA
National Provider Identifier
1982118618
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904008864 Issued in VA
Legal business name
RENEW COUNSELING AND SERVICES
Practice address
14540 John Marshall Highway
Gainesville, VA 20155
Phone
(703) 831-3221
NPI assigned
Nov 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Shaakira SimmondsNPI 1629421680
Title
Therapist
Phone
(954) 445-2499

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0904008864 VA Primary

Addresses

Primary practice location

14540 John Marshall Highway
Gainesville, VA 20155

Mailing address

14540 John Marshall Hwy
Gainesville, VA 20155-1691

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": "1510790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1982118618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14540 JOHN MARSHALL HWY",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "201551691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14540 JOHN MARSHALL HIGHWAY",
            "city": "GAINESVILLE",
            "state": "VA",
            "postal_code": "20155",
            "telephone_number": "703-831-3221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW COUNSELING AND SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-16",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "SIMMONDS",
        "authorized_official_first_name": "SHAAKIRA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "954-445-2499"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904008864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.