NPIMap

Organization Active NPI

Renewed Minds Behavioral Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Monroe, LA
National Provider Identifier
1245603331
Registry record updated Jun 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RENEWED MINDS BEHAVIORAL CENTER
Practice address
1201 N 5TH St
Monroe, LA 71201-5317
Phone
(318) 512-4997
Fax
(318) 600-6095
NPI assigned
Nov 11, 2015
Last updated
Jun 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2023

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

Authorized official

Name
Mr. Karlin Richardson, APRNNPI 1881052314
Title
Administrator
Phone
(318) 512-4997

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1201 N 5TH St
Monroe, LA 71201-5317

Mailing address

PO Box 2911
Monroe, LA 71207-2911
Phone (318) 372-1980

Other practice location 1

19072 Highway 167
Bentley, LA 71407
Phone (318) 512-4997

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230421001119 LA Part B Supplier - Clinic/Group Practice 1759638034 Receives reassigned benefits from 1 practitioner
Practice locations: Monroe, LA

National Provider Directory

National Provider Directory

Locations

801 Stubbs Ave
Ste E
Monroe, LA 71201
Phone (318) 323-2246

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1245603331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2911",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712072911",
            "telephone_number": "318-372-1980",
            "fax_number": "318-600-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 N 5TH ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015317",
            "telephone_number": "318-512-4997",
            "fax_number": "318-600-6095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19072 Highway 167",
            "address_purpose": "LOCATION",
            "city": "Bentley",
            "state": "LA",
            "postal_code": "71407",
            "country_code": "US",
            "telephone_number": "318-512-4997",
            "fax_number": "318-600-6095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENEWED MINDS BEHAVIORAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-11",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "RICHARDSON",
        "authorized_official_first_name": "KARLIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "318-512-4997",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.