Renewing Your Mind Therapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

RENEWING YOUR MIND THERAPY PLLC

Practice address

808 S Main St Ste C
Columbia, IL 62236-2499

Phone

(618) 327-7130

Fax

(888) 690-4813

NPI assigned

Jan 23, 2024

Organization subpart

No

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

Authorized official

Name

Carol Ann Worthington, LCSWNPI 1194256990

Title

Therapist

Phone

(618) 327-7130

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Carol Ann Worthington, LCSW

  • Clinical Social Worker
  • Columbia, IL
  • NPI 1194256990
  NPD Authorized official

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1780445015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 S MAIN ST STE C",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622362499",
            "telephone_number": "618-327-7130",
            "fax_number": "888-690-4813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 S MAIN ST STE C",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622362499",
            "telephone_number": "618-327-7130",
            "fax_number": "888-690-4813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWING YOUR MIND THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "WORTHINGTON",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "618-327-7130",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Joseph Raney, D.M.D.
• Wendy Range, MS, CCC-SLP
• Sarah Elizabeth Reinking, DPT
• Renee E Doyle, DMD, Ms, P.C.
• Renew Counseling LLC
• Michelle Rogers
• Adam Rose, LCPC, NCC
• Andrea Terese Rule, LCSW
• Gregory R Sacho, OD
• Jolene Greenfield Sasser

• Clinical Social Worker in Columbia, IL
• Providers in Columbia, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.