RENAISSANCE COUNSELING SERVICES,LLC
NPI 1912106568
Community/Behavioral Health in Decatur, GA

Q: What is Renaissance Counseling Services,llc's NPI number?

The NPI number for Renaissance Counseling Services,llc is 1912106568. It was assigned to this organization in the NPPES registry on July 13, 2007.

Q: What is Renaissance Counseling Services,llc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Active since July 13, 2007

691 E. COLLEGE AVE., DECATUR, GA 30031(770) 256-0421 Get Directions Write a Review

NPPES record last updated: July 13, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Renaissance Counseling Services,llc NPPES

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

RENAISSANCE COUNSELING SERVICES,LLC (NPI 1912106568) is a healthcare organization registered as a community/behavioral health in Decatur, Georgia and active in the NPI registry since July 2007. The organization lists Quincy Preston-clark, Ceo, as its authorized official.

NPPES Registry Identity

NPI1912106568

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameRENAISSANCE COUNSELING SERVICES,LLC

Location Address691 E. COLLEGE AVE.Decatur, GA 30031

Mailing AddressPo Box 551Decatur, GA 30031-0551 · (770) 256-0421

Phone(770) 256-0421

Organization SubpartNo

Authorized OfficialQuincy Preston-clarkCeo · (770) 256-0421

Enumeration DateJuly 13, 2007

✔ NPI 1912106568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

691 E. COLLEGE AVE., Decatur, GA 30031

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Renaissance Counseling Services,llc 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 Renaissance Counseling Services,llc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Derrick Lake, LCSW

Clinical Social Worker

NPI 1982879490

4229 SNAPFINGER WOODS DR
Decatur, GA 30035

(404) 286-9252

✔ PECOS5.6 mi

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 Renaissance Counseling Services,llc's NPI number?

The NPI number for Renaissance Counseling Services,llc is 1912106568. It was assigned to this organization in the NPPES registry on July 13, 2007.

Where is Renaissance Counseling Services,llc located?

Renaissance Counseling Services,llc is located at 691 E. College Ave., Decatur, GA 30031. The listed phone number is (770) 256-0421.

What is Renaissance Counseling Services,llc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Renaissance Counseling Services,llc enrolled in Medicare?

Yes. Renaissance Counseling Services,llc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renaissance Counseling Services,llc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Renaissance Counseling Services,llc. 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 Renaissance Counseling Services,llc was last updated on July 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.