Organization Active NPI

Renewing Families, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Charlotte, NC
National Provider Identifier
1982949897
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
1994 Issued in NC
Legal business name
RENEWING FAMILIES, LLC
Practice address
1977 J N Pease PL. Ste 201
Charlotte, NC 28262
Phone
(980) 275-4849
Fax
(704) 817-3069
NPI assigned
Dec 4, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Authorized official

Name
Mrs. Debra A Green, MSW, LCASNPI 1932432051
Title
Therapist/Ceo
Phone
(704) 891-8188

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
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 1994 NC Primary

Addresses

Primary practice location

1977 J N Pease PL. Ste 201
Charlotte, NC 28262

Mailing address

1977 J N Pease PL Ste 201
Charlotte, NC 28262-4527
Phone (980) 275-4849

National Provider Directory

National Provider Directory

Locations

1977 J N Pease Pl
Ste 201
Charlotte, NC 28262
Phone (980) 275-4849

Practitioners & affiliated clinicians

Practitioners 2

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": "1354579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1982949897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1977 J N PEASE PL STE 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282624527",
            "telephone_number": "980-275-4849",
            "fax_number": "704-817-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1977 J N PEASE PL. STE 201",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28262",
            "telephone_number": "980-275-4849",
            "fax_number": "704-817-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWING FAMILIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "THERAPIST/CEO",
        "authorized_official_telephone_number": "704-891-8188",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW, LCAS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "1994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.