Renewmind Outpatient

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RENEWMIND OUTPATIENT

Practice address

319 Main St Ste 104
Smithfield, VA 23430-1326

Phone

(757) 613-7349

Fax

(757) 279-0238

NPI assigned

Aug 21, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Tracy Motton

Title

Director

Phone

(757) 613-7349

Specialties & licenses 1

Addresses

Other names 1

• Renewmind Outpatient, LLC Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1053298802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 FORT HUGER DR",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234305418",
            "telephone_number": "757-613-7349",
            "fax_number": "757-279-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 MAIN ST STE 104",
            "city": "SMITHFIELD",
            "state": "VA",
            "postal_code": "234301326",
            "telephone_number": "757-613-7349",
            "fax_number": "757-279-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWMIND OUTPATIENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "MOTTON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "757-613-7349",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renewmind Outpatient, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Smithfield, VA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.