NPIMap

Organization Active NPI

Renewed Mind Counseling Services

  • Clinical Social Worker
  • Hahira, GA
National Provider Identifier
1013321397
Registry record updated Jul 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005091 Issued in GA
Legal business name
RENEWED MIND COUNSELING SERVICES
Practice address
505 S Church St Ste C
Hahira, GA 31632-1413
Phone
(229) 500-6364
Fax
(912) 999-3208
NPI assigned
Jun 16, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2025

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

Authorized official

Name
Mrs. Katherine Freeman, LCSWNPI 1891099867
Title
Owner
Phone
(229) 561-6912

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 005091 GA Primary

Addresses

Primary practice location

505 S Church St Ste C
Hahira, GA 31632-1413

Mailing address

505 S Church St Ste C
Hahira, GA 31632-1413
Phone (229) 561-6912

Other practice location 1

2109 N Patterson St Ste B
Valdosta, GA 31602-2577
Phone (229) 500-6364

Other identifiers 1

IdentifierTypeStateIssuer
1891099867OtherGABLUE CROSS BLUE SHIELD/ANTHEM

National Provider Directory

National Provider Directory

Locations

505 S Church St
Bldg 4
Hahira, GA 31632
Phone (229) 414-8813

505 S Church St
Ste C
Hahira, GA 31632
Phone (229) 500-6364

Practitioners & affiliated clinicians

Practitioners 3

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": "1402876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752192000000",
    "number": "1013321397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S CHURCH ST STE C",
            "city": "HAHIRA",
            "state": "GA",
            "postal_code": "316321413",
            "telephone_number": "229-561-6912",
            "fax_number": "912-999-3208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S CHURCH ST STE C",
            "city": "HAHIRA",
            "state": "GA",
            "postal_code": "316321413",
            "telephone_number": "229-500-6364",
            "fax_number": "912-999-3208"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2109 N Patterson St Ste B",
            "address_purpose": "LOCATION",
            "city": "Valdosta",
            "state": "GA",
            "postal_code": "316022577",
            "country_code": "US",
            "telephone_number": "229-500-6364",
            "fax_number": "877-343-0538",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENEWED MIND COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-16",
        "last_updated": "2025-07-11",
        "certification_date": "2025-07-11",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-561-6912",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "005091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD/ANTHEM",
            "identifier": "1891099867",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hahira, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2025; 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.