Renova Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RENOVA COUNSELING, LLC

Practice address

12220 113TH Ave NE Ste 210
Kirkland, WA 98034-6950

Phone

(425) 502-5641

NPI assigned

May 26, 2022

Last updated

May 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erin Gist, MA, LMHC, CMHSNPI 1851568406

Title

Owner, Therapist

Phone

(425) 502-5641

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Erin Kathleen Gist, MA, LMHC, CMHS

  • Mental Health Counselor
  • Kirkland, WA
  • NPI 1851568406
  NPD Authorized official

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

{
    "created_epoch": "1653523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653523200000",
    "number": "1982342101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12220 113TH AVE NE STE 210",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346950",
            "telephone_number": "425-502-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12220 113TH AVE NE STE 210",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980346950",
            "telephone_number": "425-502-5641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENOVA COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-26",
        "last_updated": "2022-05-26",
        "certification_date": "2022-05-26",
        "status": "A",
        "authorized_official_last_name": "GIST",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "425-502-5641",
        "authorized_official_credential": "MA, LMHC, CMHS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared W Remington, MD
• Remote Diagnostic Interpreters PC
• Bryn Renda, PA-C., MCMSC
• Eric Clayton Rendahl
• Renova Counseling
• Robin Renville
• Patricia C Reppar, PA-C
• Residence XII
• Resolution Bioscience
• Shellie Respess

• Mental Health Counselor in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Mental Health Counselor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; 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.