Organization Active NPI

Renewing the Mind Counseling Services, LLC

  • Mental Health Counselor
  • Vestavia Hills, AL
National Provider Identifier
1407485030
Registry record updated Apr 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RENEWING THE MIND COUNSELING SERVICES, LLC
Practice address
4268 Cahaba Heights Court
128
Vestavia Hills, AL 36243
Phone
(334) 316-3755
Fax
(334) 888-8311
NPI assigned
Apr 6, 2020
Last updated
Apr 14, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2020

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

Authorized official

Name
Ms. Chondra Adele Perdue, ALCNPI 1265175830
Title
Principle & Ceo
Phone
(510) 316-9388

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

4268 Cahaba Heights Court
128
Vestavia Hills, AL 36243

Mailing address

3105 Sunview Dr Unit 430232
Vestavia, AL 35243-7758
Phone (334) 316-9388

National Provider Directory

National Provider Directory

Locations

3105 Sunview Dr
Unit 430232
Vestavia, AL 35243

4268 Cahaba Heights Ct
#128
Vestavia, AL 35243
Phone (334) 316-3755

Practitioners & affiliated clinicians

Practitioners 1

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": "1586131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586822400000",
    "number": "1407485030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3105 SUNVIEW DR UNIT 430232",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352437758",
            "telephone_number": "334-316-9388",
            "fax_number": "334-888-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4268 CAHABA HEIGHTS COURT",
            "address_2": "128",
            "city": "VESTAVIA HILLS",
            "state": "AL",
            "postal_code": "36243",
            "telephone_number": "334-316-3755",
            "fax_number": "334-888-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWING THE MIND COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-06",
        "last_updated": "2020-04-14",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "PERDUE",
        "authorized_official_first_name": "CHONDRA",
        "authorized_official_middle_name": "ADELE",
        "authorized_official_title_or_position": "PRINCIPLE & CEO",
        "authorized_official_telephone_number": "510-316-9388",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ALC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vestavia Hills, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; 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.