Renew Mental Health LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RENEW MENTAL HEALTH LLC

Practice address

411 Orange St
Tabor, IA 51653-2049

Phone

(319) 804-9767

NPI assigned

Jul 19, 2023

Organization subpart

No

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

Authorized official

Name

Tawnie Ware, LMHCNPI 1518454123

Title

Therapist

Phone

(712) 310-3920

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Practitioners 2

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

• Tawnie Ware, LMHC

  • Mental Health Counselor
  • Tabor, IA
  • NPI 1518454123

  IA

  Medicare reassignment NPD Authorized official
• Megan Lianne Ruff

  • Counselor
  • Tabor, IA
  • NPI 1346705928
  NPD

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

{
    "created_epoch": "1689724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689724800000",
    "number": "1275213811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 WAUBONSIE AVE",
            "city": "TABOR",
            "state": "IA",
            "postal_code": "516532032",
            "telephone_number": "712-310-3920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 ORANGE ST",
            "city": "TABOR",
            "state": "IA",
            "postal_code": "516532049",
            "telephone_number": "319-804-9767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-19",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A",
        "authorized_official_last_name": "WARE",
        "authorized_official_first_name": "TAWNIE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "712-310-3920",
        "authorized_official_credential": "LMHC"
    },
    "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": []
}

• Brenda McCollum
• Medical Clinic LLC
• Stefanie Ann Naumowicz
• Physicians Clinic, Inc.
• Mellenie Porter, T-LMHC
• Megan Lianne Ruff
• Tegan Sayers
• Shenandoah Medical Center
• Stoner Drug Co.
• Tabor Manor Care Center Inc

• All providers in Tabor, IA
• Mental Health Clinic/Center (Including Community Mental Health Center) in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.