Renewed Mind Counseling Service

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RENEWED MIND COUNSELING SERVICE

Practice address

2910 49TH St
Vero Beach, FL 32967-1275

Phone

(772) 205-5065

NPI assigned

Sep 2, 2020

Organization subpart

No

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

Authorized official

Name

Tracy B. TaylorNPI 1386923126

Title

Owner

Phone

(772) 205-5065

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Tracy Bell Taylor

  • Clinical Social Worker
  • Palm Bay, FL
  • NPI 1386923126

  Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609718400000",
    "number": "1174137517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 US HIGHWAY 1 STE 104-323",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329677600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2910 49TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329671275",
            "telephone_number": "772-205-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED MIND COUNSELING SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "772-205-5065"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pam Reiner, RN
• Siera Marie Reiner, DMD
• Laura Reinman, LCSW
• Katelyn Reismiller, PA-C
• Nicholas G Rendon, DDS
• Savannah Renforth
• Rer Enterprises, Inc. (Oxygen Plus Respiratory Care and Home health Equipment)
• Giorgio G Res, D.C., P.T.
• Lynda Resos
• Respiratory Care Providers, Incorporated (Kids and Nurses Ppec Center)

• Clinical Social Worker in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; 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.