Renew Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RENEW COUNSELING LLC

Practice address

210 W Sand Bank Rd Ste 5
Columbia, IL 62236-1044

Phone

(314) 477-1125

NPI assigned

Jun 24, 2019

Organization subpart

No

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

Authorized official

Name

Heidi B Donald, MSW, LCSW

Title

Clinical Social Worker

Phone

(314) 477-1125

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1982265690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 AUTUMN RISE LN",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622362867",
            "telephone_number": "314-477-1125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 W SAND BANK RD STE 5",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622361044",
            "telephone_number": "314-477-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "DONALD",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "314-477-1125",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher S Pugeda, D.M.D.
• Stephen Joseph Raney, D.M.D.
• Wendy Range, MS, CCC-SLP
• Sarah Elizabeth Reinking, DPT
• Renee E Doyle, DMD, Ms, P.C.
• Renewing Your Mind Therapy PLLC
• Michelle Rogers
• Adam Rose, LCPC, NCC
• Andrea Terese Rule, LCSW
• Gregory R Sacho, OD

• Clinical Social Worker in Columbia, IL
• Providers in Columbia, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.