NPIMap

Organization Active NPI

Renewing Minds Counseling and Consulting Services, LLC

  • Mental Health Counselor
  • Tallahassee, FL
National Provider Identifier
1023615846
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RENEWING MINDS COUNSELING AND CONSULTING SERVICES, LLC
Practice address
4047 Ailanthus CT
Tallahassee, FL 32305-5003
Phone
(850) 692-9268
NPI assigned
Oct 5, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Authorized official

Name
Antonio Lamar Wyche, LCSWNPI 1194332056
Title
Co-Owner
Phone
(850) 692-9268

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X

Addresses

Primary practice location

4047 Ailanthus CT
Tallahassee, FL 32305-5003

Mailing address

4047 Ailanthus CT
Tallahassee, FL 32305-5003
Phone (850) 692-9268

National Provider Directory

National Provider Directory

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

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": "1601856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601856000000",
    "number": "1023615846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4047 AILANTHUS CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323055003",
            "telephone_number": "850-692-9268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4047 AILANTHUS CT",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323055003",
            "telephone_number": "850-692-9268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWING MINDS COUNSELING AND CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-05",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A",
        "authorized_official_last_name": "WYCHE",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "850-692-9268",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; 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.