LIFEPATH HOLISTIC COUNSELING AND CONSULTING, PLLC.
NPI 1083338032
Counselor - Professional in Waxhaw, NC

Active since October 03, 2022
104 WAXHAW PROFESSIONAL PARK DR STE D, WAXHAW, NC 28173(704) 899-1555 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 27, 2025, Jan 20, 2023, Oct 3, 2022 (3 updates tracked since 2022).

About Lifepath Holistic Counseling And Consulting, Pllc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIFEPATH HOLISTIC COUNSELING AND CONSULTING, PLLC. (NPI 1083338032) is a healthcare organization registered as a professional in Waxhaw, North Carolina and active in the NPI registry since October 2022. The organization lists Jenny Renville, Licensed Clinical Mental Health Cou, as its authorized official.

NPPES Registry Identity

NPI1083338032
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameLIFEPATH HOLISTIC COUNSELING AND CONSULTING, PLLC.
Location Address104 WAXHAW PROFESSIONAL PARK DR STE DWaxhaw, NC 28173-5020
Mailing Address104 Waxhaw Professional Park Dr Ste DWaxhaw, NC 28173-5020 · (704) 899-1555
Organization SubpartNo
Authorized OfficialJenny RenvilleLicensed Clinical Mental Health Cou · (704) 899-1555
Enumeration DateOctober 3, 2022
Last NPPES UpdateApril 15, 20253 updates tracked since enumeration
NPPES CertifiedApril 15, 2025
✔ NPI 1083338032 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselorTaxonomy 101Y00000X
104 WAXHAW PROFESSIONAL PARK DR STE D, Waxhaw, NC 28173

Other Names 1

Doing Business AsLifepath Holistic Counseling And Consulting, Pllc.

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lifepath Holistic Counseling And Consulting, Pllc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Lifepath Holistic Counseling And Consulting, PLLC., which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1124670500
104 WAXHAW PROFESSIONAL PARK DR STE D
Waxhaw, NC 28173
(704) 277-9009
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lifepath Holistic Counseling And Consulting, PLLC.'s NPI number?

The NPI number for Lifepath Holistic Counseling And Consulting, PLLC. is 1083338032. It was assigned to this organization in the NPPES registry on October 3, 2022.

Where is Lifepath Holistic Counseling And Consulting, PLLC. located?

Lifepath Holistic Counseling And Consulting, PLLC. is located at 104 Waxhaw Professional Park Dr Ste D, Waxhaw, NC 28173. The listed phone number is (704) 899-1555.

What is Lifepath Holistic Counseling And Consulting, PLLC.'s specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Lifepath Holistic Counseling And Consulting, PLLC. enrolled in Medicare?

Yes. Lifepath Holistic Counseling And Consulting, PLLC. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifepath Holistic Counseling And Consulting, PLLC.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Lifepath Holistic Counseling And Consulting, PLLC.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Lifepath Holistic Counseling And Consulting, PLLC. was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.