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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

RENEW COUNSELING CENTER OF NC LLC
NPI 1528470325
Physician Assistant in Fayetteville, NC

Active since May 28, 2014CLIA 34D2150752 · Waiver
5114 YADKIN RD STE 100, FAYETTEVILLE, NC 28303(910) 779-0454(910) 491-0833 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 16, 2026, Sep 3, 2026, Aug 28, 2026 and 2 more (5 updates tracked since 2016).

About Renew Counseling Center Of Nc Llc NPPES

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

RENEW COUNSELING CENTER OF NC LLC (NPI 1528470325) is a healthcare organization registered as a physician assistant in Fayetteville, North Carolina and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through September 18, 2027 and lists Norma Iveliss Negron, Ceo, as its authorized official.

NPPES Registry Identity

NPI1528470325
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameRENEW COUNSELING CENTER OF NC LLC
Location Address5114 YADKIN RD STE 100Fayetteville, NC 28303-3251
Mailing Address5114 Yadkin Rd Ste 100Fayetteville, NC 28303-3251 · (910) 779-0454 · Fax (910) 491-0833
Phone(910) 779-0454
Fax(910) 491-0833
Organization SubpartNo
Authorized OfficialNorma Iveliss NegronCeo · (910) 476-6420
Enumeration DateMay 28, 2014
Last NPPES UpdateSeptember 16, 20265 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2026
✔ NPI 1528470325 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
5114 YADKIN RD STE 100, Fayetteville, NC 28303
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Other Identifiers 1

Medicaid6111783NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 34D2150752

Renew Counseling Laboratory · Fayetteville, NC
Active · expires Sep 18, 2027
CLIA Number34D2150752
Laboratory TypePractitioner Other
Certificate Effective DateSeptember 19, 2025
Certificate Expiration DateSeptember 18, 2027
Laboratory DirectorDr. Gerald Bynum
Laboratory Phone(910) 779-0454
Laboratory LocationRenew Counseling Laboratory2212 Hope Mills Road, Fayetteville, NC 28304
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORMA NEGRON LCAS-A
Counselor (Addiction (Substance Use Disorder))
5114 YADKIN RD STE 100
FAYETTEVILLE, NC 28303
Cumberland County (910) 476-6420
MRS. LATOYA LYNN ROBINSON MSW,LCSWA
Social Worker (Clinical)
5114 YADKIN RD STE 100
FAYETTEVILLE, NC 28303
Cumberland County (910) 799-0454

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 Renew Counseling Center Of Nc LLC's NPI number?

The NPI number for Renew Counseling Center Of Nc LLC is 1528470325. It was assigned to this organization in the NPPES registry on May 28, 2014.

Where is Renew Counseling Center Of Nc LLC located?

Renew Counseling Center Of Nc LLC is located at 5114 Yadkin Rd Ste 100, Fayetteville, NC 28303. The listed phone number is (910) 779-0454.

What is Renew Counseling Center Of Nc LLC's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Does Renew Counseling Center Of Nc LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2150752) is associated with this NPI, valid through September 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Renew Counseling Center Of Nc LLC accept?

Health plans from Blue Cross and Blue Shield of NC list Renew Counseling Center Of Nc LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Renew Counseling Center Of Nc LLC was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 days 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.