Organization Active NPI

Renew Your Mind Therapeutic Mentoring Services, LLC

  • Mental Health Counselor
  • Timonium, MD
National Provider Identifier
1518813633
Registry record updated May 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RENEW YOUR MIND THERAPEUTIC MENTORING SERVICES, LLC
Practice address
1301 York Rd.
Ste 800-1366
Timonium, MD 21093
Phone
(410) 929-5442
NPI assigned
Mar 10, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2026

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

Authorized official

Name
Khadijah Richard
Title
Ceo/Business Owner
Phone
(410) 929-5442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1301 York Rd.
Ste 800-1366
Timonium, MD 21093

Mailing address

1301 York Rd.
Ste 800-1366
Timonium, MD 21093
Phone (410) 929-5442

National Provider Directory

National Provider Directory

Locations

1301 York Rd
Ste 8001366
Timonium, MD 21093
Phone (410) 929-5442

NPI Registry JSON

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

{
    "created_epoch": "1773100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780012800000",
    "number": "1518813633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 YORK RD.",
            "address_2": "STE 800-1366",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "21093",
            "telephone_number": "410-929-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 YORK RD.",
            "address_2": "STE 800-1366",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "21093",
            "telephone_number": "410-929-5442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEW YOUR MIND THERAPEUTIC MENTORING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-10",
        "last_updated": "2026-05-29",
        "certification_date": "2026-05-29",
        "status": "A",
        "authorized_official_last_name": "RICHARD",
        "authorized_official_first_name": "KHADIJAH",
        "authorized_official_title_or_position": "CEO/BUSINESS OWNER",
        "authorized_official_telephone_number": "410-929-5442"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Timonium, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.