Organization Active NPI

Mind Renewal Counseling Services LLC

  • Professional Counselor
  • Tulsa, OK
National Provider Identifier
1265291876
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
MIND RENEWAL COUNSELING SERVICES LLC
Practice address
10830 E 45TH St Ste C102
Tulsa, OK 74146-3805
Phone
(539) 242-4100
Fax
(539) 242-4111
NPI assigned
Mar 18, 2024
Last updated
Jun 26, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Authorized official

Name
Sarah Thomas, LPCNPI 1790360105
Title
Owner/Clinical Director
Phone
(539) 242-4100

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
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

10830 E 45TH St Ste C102
Tulsa, OK 74146-3805

Mailing address

10830 E 45TH St Ste C102
Tulsa, OK 74146-3805
Phone (539) 242-4100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250919003404 OK Part B Supplier - Clinic/Group Practice 5698279719 Receives reassigned benefits from 2 practitioners
Practice locations: Tulsa, OK

National Provider Directory

National Provider Directory

Locations

10830 E 45th St
Ste C102
Tulsa, OK 74146
Phone (539) 242-4100

Practitioners & affiliated clinicians

Practitioners 3

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": "1710720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782432000000",
    "number": "1265291876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10830 E 45TH ST STE C102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463805",
            "telephone_number": "539-242-4100",
            "fax_number": "539-242-4111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10830 E 45TH ST STE C102",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741463805",
            "telephone_number": "539-242-4100",
            "fax_number": "539-242-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND RENEWAL COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-18",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "539-242-4100",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

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