RENEWED THERAPY PLLC
NPI 1104603455
Clinic/Center - Adolescent and Children Mental Health in Morrisville, NC
About Renewed Therapy Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENEWED THERAPY PLLC (NPI 1104603455) is a healthcare organization registered as an adolescent and children mental health in Morrisville, North Carolina and active in the NPI registry since September 2023. The organization lists Beverly Chisholm, Owner / Clinical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Renewed Therapy Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Renewed Therapy PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Renewed Therapy PLLC's NPI number?
The NPI number for Renewed Therapy PLLC is 1104603455. It was assigned to this organization in the NPPES registry on September 11, 2023.
Where is Renewed Therapy PLLC located?
Renewed Therapy PLLC is located at 105 Inisfree Pl, Morrisville, NC 27560. The listed phone number is (919) 244-7638.
What is Renewed Therapy PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.
Is Renewed Therapy PLLC enrolled in Medicare?
Yes. Renewed Therapy PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Renewed Therapy PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Renewed Therapy PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Renewed Therapy PLLC accept?
Health plans from Blue Cross and Blue Shield of NC list Renewed Therapy PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Renewed Therapy PLLC was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Renewed Therapy Pllc · NPI 1104603455
Adolescent and Children Mental Health organization in Morrisville, North Carolina. Organization record, active in the CMS NPPES registry since September 11, 2023.
## Identity
- **NPI:** 1104603455 (Entity type: Organization)
- **Enumerated:** September 11, 2023
- **Primary specialty:** Clinic/Center - Adolescent and Children Mental Health · taxonomy 261QM0855X
- **Organization subpart:** No
- **Authorized official:** Beverly Chisholm, OWNER / CLINICAL DIRECTOR
## Practice location
- **Address:** 105 INISFREE PL, Morrisville, NC 27560-7525
- **Phone:** (919) 244-7638
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1104603455) · Data from the CMS NPPES public registry.