Renewal of the Mind

Primary specialty

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

Legal business name

RENEWAL OF THE MIND

Practice address

10560 Main St
Fairfax, VA 22030-7182

Phone

(972) 880-3510

NPI assigned

May 20, 2021

Last updated

May 20, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Naglaa Moussa, LPCNPI 1023513512

Title

Founder

Phone

(972) 880-3510

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Locations

Practitioners 12

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.

• Naglaa Boutros Moussa, LPC

  • Professional Counselor
  • Bristow, VA
  • NPI 1023513512

  DC

  Medicare reassignment NPD Authorized official
• Melissa Dianne Addessi, LPC

  • Mental Health Counselor
  • Fairfax, VA
  • NPI 1154161305
  NPD
• Valeria Cuzzi-Marruffo

  • Counselor
  • Manassas, VA
  • NPI 1154925709
  NPD
• Melanie Selina Davis, MSW, LCSW

  • Clinical Social Worker
  • Fairfax, VA
  • NPI 1306589718
  NPD
• Kelly Kramer

  • Mental Health Counselor
  • Fairfax, VA
  • NPI 1487460929
  NPD
• Justin Ridgell

  • Mental Health Counselor
  • Fairfax, VA
  • NPI 1982497954
  NPD
• Laura Valdez

  • Mental Health Counselor
  • Fairfax, VA
  • NPI 1922834159
  NPD
• Victoria Jane Otchere, LPC

  • Professional Counselor
  • Manassas, VA
  • NPI 1356938476
  NPD (past)
• Sonya Quiroz Robles, LPC

  • Professional Counselor
  • Fairfax, VA
  • NPI 1861278848
  NPD (past)
• Melissa Kathryn Mabel Reterstoff

  • Professional Counselor
  • North Chesterfield, VA
  • NPI 1881441657
  NPD (past)
• Paige Fife, LCSW

  • Clinical Social Worker
  • Oklahoma City, OK
  • NPI 1497352843
  NPD (past)
• Sharon Jones, LPC

  • Professional Counselor
  • Jonesboro, AR
  • NPI 1912041112
  NPD (past)

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

{
    "created_epoch": "1621468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621468800000",
    "number": "1548835705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13199 GUILDTOWN PL",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201365613",
            "telephone_number": "972-880-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10560 MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307182",
            "telephone_number": "972-880-3510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWAL OF THE MIND",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-20",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A",
        "authorized_official_last_name": "MOUSSA",
        "authorized_official_first_name": "NAGLAA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "972-880-3510",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.vapsychotherpay.com",
            "affiliation": "N",
            "address_1": "10560 Main St",
            "city": "Fairfax",
            "state": "VA",
            "country_code": "US",
            "postal_code": "220307182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Renal Carepartners of Fairfax, LLC (U.S. Renal Care Fairfax Dialysis)
• Renal Treatment Centers Mid Atlantic Inc (Fair Oaks Dialysis)
• Renascance Dermatology PC
• Brianna Rendin
• Christopher A Reneau, NP
• Renewed Oriental Medicine Clinic, Inc.
• Cathleen Renkiewicz, PT
• Samantha Renner
• Traci Ann Reno, LCSW
• Keith D Renshaw, PH.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.