Organization Active NPI

Renu Mental Wellness Group

  • Clinical Neuropsychologist
  • Houston, TX
National Provider Identifier
1699351205
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical NeuropsychologistTaxonomy code 103G00000X
Legal business name
RENU MENTAL WELLNESS GROUP
Practice address
11500 Northwest Fwy # 304
Houston, TX 77092-6530
Phone
(713) 408-7551
Fax
(713) 903-3944
NPI assigned
Mar 23, 2021
Last updated
Dec 4, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Latonia Harrison
Title
Administrator
Phone
(281) 888-3158

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU
Pastoral Counselor 101YP1600X NU
Professional Counselor 101YP2500X NU
Clinical Neuropsychologist 103G00000X NU Primary
Psychologist 103T00000X NU
Adult Development & Aging Psychologist 103TA0700X NU
Clinical Social Worker 1041C0700X NU
Developmental - Behavioral Pediatrics Physician 2080P0006X NU
Pediatric Neurodevelopmental Disabilities Physician 2080P0008X NU
Psychiatry Physician 2084P0800X NU
Speech-Language Pathologist 235Z00000X NU
Case Management Agency 251B00000X NU
Non-emergency Medical Transport (VAN) 343900000X NU
Behavior Analyst 103K00000X NU

Addresses

Primary practice location

11500 Northwest Fwy # 304
Houston, TX 77092-6530

Mailing address

11500 Northwest Fwy # 304
Houston, TX 77092-6530
Phone (713) 408-7551

Other practice location 1

7522 Keystone Blossom Trl
Richmond, TX 77407-3070
Phone (844) 326-8847

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221027000021 TX Part B Supplier - Clinic/Group Practice 6103292586 Receives reassigned benefits from 6 practitioners
Practice locations: Houston, TX

National Provider Directory

National Provider Directory
Tax ID family
Renu Mental Wellness Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

333 West Loop N
Ste 310
Houston, TX 77024

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1616457600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1699351205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 NORTHWEST FWY # 304",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770926530",
            "telephone_number": "713-408-7551",
            "fax_number": "713-903-3944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 NORTHWEST FWY # 304",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770926530",
            "telephone_number": "713-408-7551",
            "fax_number": "713-903-3944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7522 Keystone Blossom Trl",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "TX",
            "postal_code": "774073070",
            "country_code": "US",
            "telephone_number": "844-326-8847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RENU MENTAL WELLNESS GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-23",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "LATONIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "281-888-3158"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0006X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Developmental - Behavioral Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0008X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neurodevelopmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.