Renewed Therapy PLLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

RENEWED THERAPY PLLC

Practice address

105 Inisfree PL
Morrisville, NC 27560-7525

Phone

(919) 244-7638

NPI assigned

Sep 11, 2023

Organization subpart

No

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

Authorized official

Name

Beverly Chisholm, LCMHCSNPI 1770976532

Title

Owner / Clinical Director

Phone

(919) 244-7638

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Beverly Chisholm, LCMHCS

  • Professional Counselor
  • Morrisville, NC
  • NPI 1770976532

  NC

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1104603455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 INISFREE PL",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275607525",
            "telephone_number": "919-244-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 INISFREE PL",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275607525",
            "telephone_number": "919-244-7638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "CHISHOLM",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "OWNER / CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "919-244-7638",
        "authorized_official_credential": "LCMHCS"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Realo Veterinary Pharmacy Inc
• Frances Cosgrove Reda, NP-C
• Hannah Catherine Reed, M.S., CCC-SLP
• Monica L Reeves, OD
• Relymd Virtual Health Regional, PC
• Rex Hospital Inc
• Rosalia Reyes, RDH
• Christopher Reynolds, PHARM D
• Thomas Andrew Reynolds, ED.S.
• Sarah Anne Rhodes, PHARMD

• All providers in Morrisville, NC
• Adolescent and Children Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.