Organization Active NPI

Renewing Minds Therapy, P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Naperville, IL
National Provider Identifier
1629546296
Registry record updated Nov 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RENEWING MINDS THERAPY, P.C.
Practice address
1555 Naperville Wheaton Rd Ste 212
Naperville, IL 60563-1517
Phone
(630) 931-2388
NPI assigned
Nov 13, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2018

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

Authorized official

Name
Jessie Giese, LCSW, BCBANPI 1780956482
Title
Owner/Licensed Clinical Social Work
Phone
(630) 931-2388

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1555 Naperville Wheaton Rd Ste 212
Naperville, IL 60563-1517

Mailing address

1555 Naperville Wheaton Rd Ste 212
Naperville, IL 60563-1517

Other identifiers 1

IdentifierTypeStateIssuer
1780956482MedicaidIL

National Provider Directory

National Provider Directory

Locations

1555 Naperville Wheaton Rd
Ste 212
Naperville, IL 60563
Phone (630) 931-2388

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542067200000",
    "number": "1629546296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 NAPERVILLE WHEATON RD STE 212",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 NAPERVILLE WHEATON RD STE 212",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605631517",
            "telephone_number": "630-931-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWING MINDS THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A",
        "authorized_official_last_name": "GIESE",
        "authorized_official_first_name": "JESSIE",
        "authorized_official_title_or_position": "OWNER/LICENSED CLINICAL SOCIAL WORK",
        "authorized_official_telephone_number": "630-931-2388",
        "authorized_official_credential": "LCSW, BCBA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1780956482",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; 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.