NPIMap

Organization Active NPI

A Renewed Mind

  • Community/Behavioral Health Agency
  • Toledo, OH
National Provider Identifier
1528486404
Registry record updated Mar 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C.0601066 Issued in OH
Legal business name
A RENEWED MIND
Practice address
1946 N 13TH St
Toledo, OH 43604-7258
Phone
(419) 720-9586
NPI assigned
Mar 28, 2014
Last updated
Mar 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2014

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

Authorized official

Name
Mr. James Townsend, M. ED, LPC
Title
Residential Intervention Specialist
Phone
(419) 720-9586

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C.0601066 OH Primary

Addresses

Primary practice location

1946 N 13TH St
Toledo, OH 43604-7258

Mailing address

1946 N 13TH St
Toledo, OH 43604-7258
Phone (419) 720-9586

Other identifiers 1

IdentifierTypeStateIssuer
2963990MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
A Renewed Mind3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395964800000",
    "number": "1528486404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1946 N 13TH ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047258",
            "telephone_number": "419-720-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1946 N 13TH ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047258",
            "telephone_number": "419-720-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A RENEWED MIND",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-28",
        "last_updated": "2014-03-28",
        "status": "A",
        "authorized_official_last_name": "TOWNSEND",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "RESIDENTIAL INTERVENTION SPECIALIST",
        "authorized_official_telephone_number": "419-720-9586",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M. ED, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": "C.0601066",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2963990",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2014; 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.