Organization Active NPI

Renewed Mind Counseling & Wellness, PLLC

  • Professional Counselor
  • Richmond, TX
National Provider Identifier
1265003990
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
RENEWED MIND COUNSELING & WELLNESS, PLLC
Practice address
1000 Austin St Ste D
Richmond, TX 77469-5275
Phone
(281) 762-1663
Fax
(888) 809-1662
NPI assigned
Jul 4, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Danielle Young, MA, LPC, NCC, LCDCNPI 1215427331
Title
Owner/Clinical Director
Phone
(281) 935-1273

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Case Management Agency 251B00000X

Addresses

Primary practice location

1000 Austin St Ste D
Richmond, TX 77469-5275

Mailing address

1000 Austin St Ste D
Richmond, TX 77469-5275
Phone (281) 762-1663

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.renewedmindpllc.com/ Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231117002473 TX Part B Supplier - Clinic/Group Practice 9436507134 Receives reassigned benefits from 1 practitioner
Practice locations: Richmond, TX

National Provider Directory

National Provider Directory

Locations

2204 Thompson Rd
Ste 100
Richmond, TX 77469
Phone (281) 406-0335

1000 Austin St
Ste D
Richmond, TX 77469
Phone (281) 758-8789

Practitioners & affiliated clinicians

Practitioners 3

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": "1625356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1265003990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 AUSTIN ST STE D",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774695275",
            "telephone_number": "281-762-1663",
            "fax_number": "888-809-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 AUSTIN ST STE D",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774695275",
            "telephone_number": "281-762-1663",
            "fax_number": "888-809-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED MIND COUNSELING & WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-04",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "281-935-1273",
        "authorized_official_credential": "MA, LPC, NCC, LCDC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.renewedmindpllc.com/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1000 Austin St Ste D",
            "city": "Richmond",
            "state": "TX",
            "country_code": "US",
            "postal_code": "774695275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.