RENEW YOUR MIND WELLNESS SERVICES LLC
NPI 1396441416
Clinic/Center - Mental Health (Including Community Mental Health Center) in Columbia, MD

Q: What is Renew Your Mind Wellness Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since January 31, 2023

5501 TWIN KNOLLS RD STE 107, COLUMBIA, MD 21045(443) 690-2272(855) 450-1084 Get Directions Write a Review

NPPES record last updated: June 29, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 29, 2024, Oct 18, 2023, Jan 31, 2023 (3 updates tracked since 2023).

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About Renew Your Mind Wellness Services Llc NPPES

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

RENEW YOUR MIND WELLNESS SERVICES LLC (NPI 1396441416) is a healthcare organization registered as a mental health (including community mental health center) in Columbia, Maryland and active in the NPI registry since January 2023. The organization lists Katia Coley, Admin/provider, as its authorized official.

NPPES Registry Identity

NPI1396441416

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameRENEW YOUR MIND WELLNESS SERVICES LLC

Location Address5501 TWIN KNOLLS RD STE 107Columbia, MD 21045-3260

Mailing Address9091 Snowden River Pkwy # 1316Columbia, MD 21046-1657 · (443) 690-2272

Phone(443) 690-2272

Fax(855) 450-1084

Organization SubpartNo

Authorized OfficialKatia ColeyAdmin/provider · (240) 350-3015

Enumeration DateJanuary 31, 2023

Last NPPES UpdateJune 29, 20243 updates tracked since enumeration

NPPES CertifiedJune 29, 2024

✔ NPI 1396441416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

5501 TWIN KNOLLS RD STE 107, Columbia, MD 21045

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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Renew Your Mind Wellness Services 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 Renew Your Mind Wellness Services LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Katia Coley, NP-C

Nurse Practitioner

NPI 1770982241

5501 TWIN KNOLLS RD STE 107
Columbia, MD 21045

(443) 690-2272

✔ 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 Renew Your Mind Wellness Services LLC's NPI number?

The NPI number for Renew Your Mind Wellness Services LLC is 1396441416. It was assigned to this organization in the NPPES registry on January 31, 2023.

Where is Renew Your Mind Wellness Services LLC located?

Renew Your Mind Wellness Services LLC is located at 5501 Twin Knolls Rd Ste 107, Columbia, MD 21045. The listed phone number is (443) 690-2272.

What is Renew Your Mind Wellness Services LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Renew Your Mind Wellness Services LLC enrolled in Medicare?

Yes. Renew Your Mind Wellness Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renew Your Mind Wellness Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Renew Your Mind Wellness Services 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 Renew Your Mind Wellness Services LLC was last updated on June 29, 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.