Renewed Mental Health LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

2003023379 Issued in MO

Legal business name

RENEWED MENTAL HEALTH LLC

Practice address

212 1/2 W 5TH St
Suite 212
Joplin, MO 64801-2501

Phone

(417) 626-0212

Fax

(888) 977-3363

NPI assigned

Dec 10, 2014

Organization subpart

No

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

Authorized official

Name

Scotty J Scott

Title

Owner

Phone

(417) 626-0212

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Suzanne Gray, LMSW

  • Clinical Social Worker
  • Joplin, MO
  • NPI 1417356577
  NPD (past)
• Melinda Ledlow, MS

  • Professional Counselor
  • Aiken, SC
  • NPI 1841679875
  NPD (past)

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1871991653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 1/2 W 5TH ST",
            "address_2": "SUITE 212",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648012501",
            "telephone_number": "417-626-0212",
            "fax_number": "888-977-3363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 1/2 W 5TH ST",
            "address_2": "SUITE 212",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648012501",
            "telephone_number": "417-626-0212",
            "fax_number": "888-977-3363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED MENTAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "SCOTTY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-626-0212"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "MO",
            "license": "2003023379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Regional Plastic & Reconstructive
• Regional Surgery Center, P.C.
• Amanda Renee Rehmert, PSY.D.
• Kyra L Reichardt, NP
• Sabrina Kalani Reineke, APRN
• Renewing Mental Health, LLC
• Caroline Elizabeth Renger, LPC
• Robert W Renger, D.D.S.
• Brock Michael Renken
• Miranda L Renteria, PLPC

• Community/Behavioral Health Agency in Joplin, MO
• Providers in Joplin, MO by specialty
• Community/Behavioral Health Agency in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.