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MIND RENEWAL BEHAVIORAL HEALTH SERVICES
NPI 1275060386
Counselor - Professional in Colorado Springs, CO

Active since May 19, 2017
660 SOUTHPOINTE CT STE 200, COLORADO SPRINGS, CO 80906(719) 465-2582(719) 465-2643 Get Directions Write a Review

NPPES record last updated: February 26, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, May 19, 2017 (2 updates tracked since 2017).

About Mind Renewal Behavioral Health Services NPPES

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

MIND RENEWAL BEHAVIORAL HEALTH SERVICES (NPI 1275060386) is a healthcare organization registered as a professional in Colorado Springs, Colorado and active in the NPI registry since May 2017. The organization lists Carlos Villafan, Owner, as its authorized official.

NPPES Registry Identity

NPI1275060386
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameROM 12-2 COUNSELING
Location Address660 SOUTHPOINTE CT STE 200Colorado Springs, CO 80906-3874
Mailing Address660 Southpointe Ct Ste 200Colorado Springs, CO 80906-3874 · (719) 465-2582 · Fax (719) 465-2643
Phone(719) 465-2582
Fax(719) 465-2643
Organization SubpartYes
Authorized OfficialCarlos VillafanOwner · (719) 465-2582
Enumeration DateMay 19, 2017
Last NPPES UpdateFebruary 26, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2024
✔ NPI 1275060386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CO · 5586
660 SOUTHPOINTE CT STE 200, Colorado Springs, CO 80906
Open in Google Maps ↗

Other Names 1

Doing Business AsMind Renewal Behavioral Health Services

Other Identifiers 2

Other1174713325CO · Individual Npi
Medicaid671490CO

Group Practice 1

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

Mind Renewal Behavioral Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Mind Renewal Behavioral Health Services, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Carlos Villafan, NCC, LPC
Mental Health Counselor
NPI 1174713325
125 N PARKSIDE DR STE 204
Colorado Springs, CO 80909
(719) 465-2582
✔ PECOS✔ Accepts Medicare3.1 mi
Gretchen Charlton
Mental Health Counselor
NPI 1265938849
1314 EAGLE VIEW DR
Colorado Springs, CO 80909
(719) 229-7356
✔ PECOS✔ Accepts Medicare4.1 mi
Edward White, MA
Mental Health Counselor
NPI 1003279472
5555 ERINDALE DR SUITE 204
Colorado Springs, CO 80918
(719) 686-4635
✔ PECOS✔ Accepts Medicare8.2 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 Rom 12-2 Counseling's NPI number?

The NPI number for Rom 12-2 Counseling is 1275060386. It was assigned to this organization in the NPPES registry on May 19, 2017. The provider is doing business as Mind Renewal Behavioral Health Services.

Where is Rom 12-2 Counseling located?

Rom 12-2 Counseling is located at 660 Southpointe Ct Ste 200, Colorado Springs, CO 80906. The listed phone number is (719) 465-2582.

What is Rom 12-2 Counseling's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Rom 12-2 Counseling enrolled in Medicare?

Yes. Rom 12-2 Counseling is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rom 12-2 Counseling?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Mental Health Counselor, reassign their Medicare billing to Rom 12-2 Counseling. 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. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rom 12-2 Counseling was last updated on February 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.