Renewing Minds Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

003086 Issued in CT

Legal business name

RENEWING MINDS COUNSELING LLC

Practice address

969 W Main St Ste 2G
Waterbury, CT 06708-2666

Phone

(203) 872-5577

NPI assigned

Sep 29, 2017

Organization subpart

No

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

Authorized official

Name

Brittney Wilkes, LPCNPI 1801210554

Title

Owner

Phone

(203) 872-5577

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Brittney Wilkes, LPC

  • Professional Counselor
  • Waterbury, CT
  • NPI 1801210554
  NPD Authorized official

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1265941579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 W MAIN ST STE 2G",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082666",
            "telephone_number": "203-525-1196",
            "fax_number": "844-847-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 W MAIN ST STE 2G",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082666",
            "telephone_number": "203-872-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWING MINDS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-29",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "WILKES",
        "authorized_official_first_name": "BRITTNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-872-5577",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "CT",
            "license": "003086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1801210554",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Professional Counselor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.