RENEW MENTAL HEALTH AND WELLNESS LLC
NPI 1447817572
Nurse Practitioner - Psychiatric/Mental Health in Jonesboro, AR
About Renew Mental Health And Wellness Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENEW MENTAL HEALTH AND WELLNESS LLC (NPI 1447817572) is a healthcare organization registered as a psychiatric/mental health in Jonesboro, Arkansas and active in the NPI registry since May 2019. The organization holds an CLIA Accreditation certificate valid through April 1, 2028 and lists Stacey Lynch, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Renew Mental Health And Wellness Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
37Medicare enrollment records show 37 clinicians reassign Medicare billing to Renew Mental Health And Wellness LLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 25 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 6
Nearest to this location (20)
See all 37Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Accreditation 04D2281603
Renew Mental Health And Wellness · Jonesboro, ARFrequently 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 Mental Health And Wellness LLC's NPI number?
The NPI number for Renew Mental Health And Wellness LLC is 1447817572. It was assigned to this organization in the NPPES registry on May 23, 2019.
Where is Renew Mental Health And Wellness LLC located?
Renew Mental Health And Wellness LLC is located at 1150 E Matthews Ave Ste 101A, Jonesboro, AR 72401. The listed phone number is (870) 243-0424.
What is Renew Mental Health And Wellness LLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Renew Mental Health And Wellness LLC enrolled in Medicare?
Yes. Renew Mental Health And Wellness LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Renew Mental Health And Wellness LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 37 clinicians in 6 Medicare specialties reassign their Medicare billing to Renew Mental Health And Wellness 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. The largest specialties are Nurse Practitioner (29), Clinical Social Worker (3) and Mental Health Counselor (2). Of these, 6 practice at this address and 25 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Renew Mental Health And Wellness LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Accreditation (number 04D2281603) is associated with this NPI, valid through April 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Renew Mental Health And Wellness LLC was last updated on September 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Renew Mental Health And Wellness Llc · NPI 1447817572
Psychiatric/Mental Health organization in Jonesboro, Arkansas. Organization record, active in the CMS NPPES registry since May 23, 2019.
## Identity
- **NPI:** 1447817572 (Entity type: Organization)
- **Enumerated:** May 23, 2019
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **Organization subpart:** No
- **Authorized official:** Stacey Lynch, OWNER
## Practice location
- **Address:** 1150 E MATTHEWS AVE STE 101A, Jonesboro, AR 72401-4356
- **Phone:** (870) 243-0424 · **Fax:** (534) 248-4225
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 37 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (29), Clinical Social Worker (3), Mental Health Counselor (2); 6 practice at this address and 25 within 10 miles; [full list](https://npiprofile.com/npi/1447817572/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 28, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1447817572) · Data from the CMS NPPES public registry.