Renew Your Mind New Jersey LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RENEW YOUR MIND NEW JERSEY LLC

Practice address

6360 Maryland Ave
Mays Landing, NJ 08330-1047

Phone

(609) 507-5443

NPI assigned

Mar 3, 2026

Organization subpart

No

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

Authorized official

Name

Jerome Grant, LCSWNPI 1154100329

Title

Co-Owner

Phone

(609) 507-5443

Specialties & licenses 2

Addresses

Practitioners 1

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

• Jerome Grant, LSW

  • Clinical Social Worker
  • Mays Landing, NJ
  • NPI 1154100329
  NPD Authorized official

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

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1396690442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6360 MARYLAND AVE",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083301047",
            "telephone_number": "609-507-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6360 MARYLAND AVE",
            "city": "MAYS LANDING",
            "state": "NJ",
            "postal_code": "083301047",
            "telephone_number": "609-507-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW YOUR MIND NEW JERSEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "609-507-5443",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tashee Reid-Cooper
• Rem New Jersey, Inc.
• Rem New Jersey, Inc.
• Renew Your Mind
• Renew Your Mind
• Restore Life Home Care LLC
• Tonya Evette Revelle
• Liana Rhodes, LCADC
• Richardson Surgical, LLC
• Clifton Richardson III, PMHNP-BC

• Mental Health Counselor in Mays Landing, NJ
• Providers in Mays Landing, NJ by specialty
• Mental Health Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.