Renewed Minds Counseling, LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

RENEWED MINDS COUNSELING, LLC

Practice address

597 Old Mount Holly Rd Ste 307
Goose Creek, SC 29445-2834

Phone

(843) 212-6768

NPI assigned

Jun 30, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Saundra D Cross, LPC, LPC-SCNPI 1407235765

Title

Owner

Phone

(843) 212-6768

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Locations

Practitioners 2

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

• Saundra D. Cross, LPC, LPC-SC

  • Mental Health Counselor
  • Goose Creek, SC
  • NPI 1407235765
  Medicare reassignment NPD Authorized official
• Haley Pasquale, LPC-A

  • Mental Health Counselor
  • Goose Creek, SC
  • NPI 1821825522
  NPD

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

{
    "created_epoch": "1688083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1619654639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 SAINT JAMES AVE STE L-167",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452768",
            "telephone_number": "843-819-9775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "597 OLD MOUNT HOLLY RD STE 307",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294452834",
            "telephone_number": "843-212-6768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED MINDS COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-30",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "SAUNDRA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-212-6768",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC, LPC-SC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• William Grant Reynolds, DMD
• Vladislav Aleksandrovich Reznichenko, DMD
• Erica Rice
• Myra Lynn Richardson, RBT

• Adult Mental Health Clinic/Center in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Adult Mental Health Clinic/Center in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.