RENEWED MIND COUNSELING SERVICE
NPI 1174137517
Social Worker - Clinical in Vero Beach, FL

Q: What is Renewed Mind Counseling Service's NPI number?

The NPI number for Renewed Mind Counseling Service is 1174137517. It was assigned to this organization in the NPPES registry on September 2, 2020.

Q: What is Renewed Mind Counseling Service's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since September 02, 2020

2910 49TH ST, VERO BEACH, FL 32967(772) 205-5065 Get Directions Write a Review

NPPES record last updated: January 4, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 4, 2021, Dec 15, 2020, Sep 3, 2020 (3 updates tracked since 2020).

On this page

About Renewed Mind Counseling Service NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENEWED MIND COUNSELING SERVICE (NPI 1174137517) is a healthcare organization registered as a clinical in Vero Beach, Florida and active in the NPI registry since September 2020. The organization lists Tracy B. Taylor, Owner, as its authorized official.

NPPES Registry Identity

NPI1174137517

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameRENEWED MIND COUNSELING SERVICE

Location Address2910 49TH STVero Beach, FL 32967-1275

Mailing Address5220 Us Highway 1 Ste 104-323Vero Beach, FL 32967-7600

Phone(772) 205-5065

Organization SubpartNo

Authorized OfficialTracy B. TaylorOwner · (772) 205-5065

Enumeration DateSeptember 2, 2020

Last NPPES UpdateJanuary 4, 20213 updates tracked since enumeration

NPPES CertifiedJanuary 4, 2021

✔ NPI 1174137517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

2910 49TH ST, Vero Beach, FL 32967

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Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Mind Counseling Service 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 Mind Counseling Service, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tracy Taylor

Clinical Social Worker

NPI 1386923126

1150 MALABAR RD SE STE 111-112
Palm Bay, FL 32907

(772) 469-6466

✔ PECOS✔ Accepts Medicare26 mi

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 Mind Counseling Service's NPI number?

The NPI number for Renewed Mind Counseling Service is 1174137517. It was assigned to this organization in the NPPES registry on September 2, 2020.

Where is Renewed Mind Counseling Service located?

Renewed Mind Counseling Service is located at 2910 49th St, Vero Beach, FL 32967. The listed phone number is (772) 205-5065.

What is Renewed Mind Counseling Service's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Renewed Mind Counseling Service enrolled in Medicare?

Yes. Renewed Mind Counseling Service is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renewed Mind Counseling Service?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Renewed Mind Counseling Service. 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.

When was this NPI record last updated?

The NPPES record for Renewed Mind Counseling Service was last updated on January 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.