Organization Active NPI

Renewed Minds, LLC

  • Mental Health Counselor
  • Bellevue, NE
National Provider Identifier
1184496523
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RENEWED MINDS, LLC
Practice address
10100 Cedar Island Rd
Bellevue, NE 68123-5048
Phone
(402) 862-6762
NPI assigned
Oct 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Authorized official

Name
Laurie Johnson, LIMHP LMHC LPCNPI 1043808793
Title
Managing Member
Phone
(402) 862-6762

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

10100 Cedar Island Rd
Bellevue, NE 68123-5048

Mailing address

6201 Kentucky Rd
Papillion, NE 68133-2372
Phone (402) 862-6762

Other practice location 1

11915 P St Ste 103
Omaha, NE 68137-2236
Phone (402) 862-6762 ext. 2236

Other practice location 2

6201 Kentucky Rd
Papillion, NE 68133-2372
Phone (402) 862-6762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231204000290 NE Part B Supplier - Clinic/Group Practice 3072961937 Receives reassigned benefits from 1 practitioner
Practice locations: Bellevue, NE; Papillion, NE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785888000000",
    "number": "1184496523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 KENTUCKY RD",
            "city": "PAPILLION",
            "state": "NE",
            "postal_code": "681332372",
            "telephone_number": "402-862-6762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 CEDAR ISLAND RD",
            "city": "BELLEVUE",
            "state": "NE",
            "postal_code": "681235048",
            "telephone_number": "402-862-6762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11915 P St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681372236",
            "country_code": "US",
            "telephone_number": "402-862-6762 x2236",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6201 Kentucky Rd",
            "address_purpose": "LOCATION",
            "city": "Papillion",
            "state": "NE",
            "postal_code": "681332372",
            "country_code": "US",
            "telephone_number": "402-862-6762",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENEWED MINDS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "402-862-6762",
        "authorized_official_credential": "LIMHP LMHC LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.