SOUL RENEWAL FAMILY COUNSELING, INC.
NPI 1295387603
Counselor - Mental Health in Lemon Grove, CA
About Soul Renewal Family Counseling, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUL RENEWAL FAMILY COUNSELING, INC. (NPI 1295387603) is a healthcare organization registered as a mental health in Lemon Grove, California and active in the NPI registry since July 2019. The organization lists Patricia Johnson Mims, Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Soul Renewal Family Counseling, Inc. 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 Soul Renewal Family Counseling, Inc., 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 Soul Renewal Family Counseling Inc's NPI number?
The NPI number for Soul Renewal Family Counseling Inc is 1295387603. It was assigned to this organization in the NPPES registry on July 15, 2019. The provider is doing business as Soul Renewal Family Counseling, Inc..
Where is Soul Renewal Family Counseling Inc located?
Soul Renewal Family Counseling Inc is located at 7737 Pacific Ave, Lemon Grove, CA 91945. The listed phone number is (619) 438-0880.
What is Soul Renewal Family Counseling Inc's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Soul Renewal Family Counseling Inc enrolled in Medicare?
Yes. Soul Renewal Family Counseling Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Soul Renewal Family Counseling Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Marriage and Family Therapist) reassigns their Medicare billing to Soul Renewal Family Counseling Inc. 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 Soul Renewal Family Counseling Inc was last updated on March 8, 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.
# Soul Renewal Family Counseling, Inc. · NPI 1295387603
Mental Health organization in Lemon Grove, California. Organization record, active in the CMS NPPES registry since July 15, 2019.
## Identity
- **NPI:** 1295387603 (Entity type: Organization)
- **Enumerated:** July 15, 2019
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Legal business name:** Soul Renewal Family Counseling Inc
- **Organization subpart:** No
- **Authorized official:** Patricia Mims, DIRECTOR
## Practice location
- **Address:** 7737 PACIFIC AVE, Lemon Grove, CA 91945-1740
- **Phone:** (619) 438-0880
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Marriage and Family Therapist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 8, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1295387603) · Data from the CMS NPPES public registry.