MIND RENEWAL THERAPY, LLC
NPI 1356012066
Social Worker - Clinical in Hermitage, PA

Q: What is Mind Renewal Therapy, LLC's NPI number?

The NPI number for Mind Renewal Therapy, LLC is 1356012066. It was assigned to this organization in the NPPES registry on September 22, 2021.

Q: What is Mind Renewal Therapy, LLC's specialty?

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

Active since September 22, 2021

3755 E STATE ST STE 6, HERMITAGE, PA 16148(724) 734-6310 Get Directions Write a Review

NPPES record last updated: September 22, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Mind Renewal Therapy, Llc NPPES

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

MIND RENEWAL THERAPY, LLC (NPI 1356012066) is a healthcare organization registered as a clinical in Hermitage, Pennsylvania and active in the NPI registry since September 2021. The organization lists Stephanie Marugg, President/therapist, as its authorized official.

NPPES Registry Identity

NPI1356012066

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameMIND RENEWAL THERAPY, LLC

Location Address3755 E STATE ST STE 6Hermitage, PA 16148-3410

Mailing Address3755 E State St Ste 6Hermitage, PA 16148-3410 · (724) 734-6310

Phone(724) 734-6310

Organization SubpartNo

Authorized OfficialStephanie MaruggPresident/therapist · (724) 734-6310

Enumeration DateSeptember 22, 2021

NPPES CertifiedSeptember 22, 2021

✔ NPI 1356012066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

3755 E STATE ST STE 6, Hermitage, PA 16148

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Group Practice 1

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)

Mind Renewal Therapy, Llc 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 Mind Renewal Therapy, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stephanie Marugg, LCSW

Clinical Social Worker

NPI 1285078303

3755 E STATE ST STE 6
Hermitage, PA 16148

(724) 503-6678

✔ PECOS✔ Accepts MedicareSame address

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 Mind Renewal Therapy, LLC's NPI number?

The NPI number for Mind Renewal Therapy, LLC is 1356012066. It was assigned to this organization in the NPPES registry on September 22, 2021.

Where is Mind Renewal Therapy, LLC located?

Mind Renewal Therapy, LLC is located at 3755 E State St Ste 6, Hermitage, PA 16148. The listed phone number is (724) 734-6310.

What is Mind Renewal Therapy, LLC's specialty?

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

Is Mind Renewal Therapy, LLC enrolled in Medicare?

Yes. Mind Renewal Therapy, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mind Renewal Therapy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Mind Renewal Therapy, LLC. 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 Mind Renewal Therapy, LLC was last updated on September 22, 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.