Active NPI
Renewed Heart and Mind Therapy, PLLC
- Clinical Social Worker
- Oswego, IL
National Provider Identifier
1043129646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- RENEWED HEART AND MIND THERAPY, PLLC
- Practice address
- 44 Monroe St
Oswego, IL 60543-7155 - Phone
- (630) 745-8506
- NPI assigned
- Sep 2, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Heather Stample, LCSW
- Title
- Owner
- Phone
- (630) 745-8506
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
44 Monroe St
Oswego, IL 60543-7155
Mailing address
180 Dorset Ave
Oswego, IL 60543-6054
Phone (630) 745-8506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788307200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1788307200000",
"number": "1043129646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 DORSET AVE",
"city": "OSWEGO",
"state": "IL",
"postal_code": "605436054",
"telephone_number": "630-745-8506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 MONROE ST",
"city": "OSWEGO",
"state": "IL",
"postal_code": "605437155",
"telephone_number": "630-745-8506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENEWED HEART AND MIND THERAPY, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-02",
"last_updated": "2026-09-02",
"certification_date": "2026-09-01",
"status": "A",
"authorized_official_last_name": "STAMPLE",
"authorized_official_first_name": "HEATHER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-745-8506",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oswego, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.