RENEW THERAPY NW LLC
NPI 1336894880
Counselor - Professional in Beaverton, OR

NPI Status: Active since February 14, 2022

Contact Information

9400 SW BEAVERTON HILLSDALE HWY STE 204
BEAVERTON, OR
ZIP 97005
Phone: (503) 446-2024

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  • Organization
  • Counselor
  • Professional

About RENEW THERAPY NW LLC

This page provides the complete NPI Profile along with additional information for Renew Therapy Nw Llc, a provider established in Beaverton, Oregon operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1336894880 assigned on February 2022. The practitioner's primary taxonomy code is 101YP2500X. The provider is registered as an organization and their NPI record was last updated one year ago. Renew Therapy Nw Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Renew Therapy Nw Llc. The authorized official of this NPI record is Jennifer Ann Jim Lpc (Owner)

NPI
1336894880
Provider Legal Name
RENEW THERAPY NW
Other Organization Name
RENEW THERAPY NW LLC
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
9400 SW BEAVERTON HILLSDALE HWY STE 204 BEAVERTON, OR 97005
Location Phone
(503) 446-2024
Mailing Address
9400 SW BEAVERTON HILLSDALE HWY STE 250 BEAVERTON, OR 97005
Mailing Phone
(503) 446-2024
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-14-2022
Last Update Date
09-10-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0850XAmbulatory Health Care Facilities

Clinic/Center
Adult Mental Health

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JENNIFER ANN JIM LPC

Authorized Official Title
OWNER
Authorized Official Phone
(503) 446-2024

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1144535162MEDICAID (05)OR 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1336894880
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
23661698816
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 6 + 6 + 1 + 6 + 9 + 8 + 8 + 1 + 6 + 24 = 80
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1336894880 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1336894880, enumerated in the NPI registry as an "organization" on February 14, 2022

The provider is located at 9400 Sw Beaverton Hillsdale Hwy Ste 204 Beaverton, Or 97005 and the phone number is (503) 446-2024

This medical organization specializes in Counselor with taxonomy code 101YP2500X with a focus in Professional

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 14, 2022. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.