RENEW MENTAL HEALTH AND WELLNESS, LLC
NPI 1467134007
Specialist in Jonesboro, AR

Active since August 03, 2023
1150 E MATTHEWS AVE STE 101A, JONESBORO, AR 72401(870) 243-0424(534) 248-4225 Get Directions Write a Review

NPPES record last updated: August 3, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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 1467134007) is a healthcare organization registered as a specialist in Jonesboro, Arkansas and active in the NPI registry since August 2023. The organization lists Stacey Lynch, Nurse Practitioner, Owner, as its authorized official.

NPPES Registry Identity

NPI1467134007
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameRENEW MENTAL HEALTH AND WELLNESS, LLC
Location Address1150 E MATTHEWS AVE STE 101AJonesboro, AR 72401-4356
Mailing Address1150 E Matthews Ave Ste 101aJonesboro, AR 72401-4356 · (870) 243-0424 · Fax (534) 248-4225
Fax(534) 248-4225
Organization SubpartNo
Authorized OfficialStacey LynchNurse Practitioner, Owner · (870) 243-0424
Enumeration DateAugust 3, 2023
NPPES CertifiedAugust 3, 2023
✔ NPI 1467134007 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1150 E MATTHEWS AVE STE 101A, Jonesboro, AR 72401

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)

Renew Mental Health And Wellness, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

37

Medicare 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

Nurse Practitioner29
Clinical Social Worker3
Mental Health Counselor2
Certified Clinical Nurse Specialist (CNS)1
General Surgery1
Psychiatry1

Nearest to this location (20)

See all 37
Nurse Practitioner
NPI 1093550741
1150 E MATTHEWS AVE STE A
Jonesboro, AR 72401
(870) 243-0424
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1215212089
1150 E MATTHEWS AVE STE A
Jonesboro, AR 72401
(870) 926-3463
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1982938205
1150 E MATTHEWS AVE STE A
Jonesboro, AR 72401
(870) 243-0424
✔ PECOSSame address
Nurse Practitioner
NPI 1750705513
1150 E MATTHEWS AVE STE 101A
Jonesboro, AR 72401
(870) 243-0424
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1932097615
1150 E MATTHEWS AVE STE 101A
Jonesboro, AR 72401
(870) 243-0424
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1528837945
1150 E MATTHEWS AVE STE 101A
Jonesboro, AR 72401
(870) 243-0424
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1477818805
1005 E MATTHEWS AVE
Jonesboro, AR 72401
(870) 935-1242
✔ PECOS✔ Accepts Medicare0.2 mi
Clinical Social Worker
NPI 1346721545
300 CARSON ST
Jonesboro, AR 72401
(870) 930-9090
✔ PECOS✔ Accepts Medicare0.6 mi
Nurse Practitioner
NPI 1740767375
800 S CHURCH ST STE 400
Jonesboro, AR 72401
(870) 935-6012
✔ PECOS0.8 mi
Clinical Social Worker
NPI 1548637531
615 E MATTHEWS AVE
Jonesboro, AR 72401
(870) 930-9090
✔ PECOS✔ Accepts Medicare1.2 mi
Nurse Practitioner
NPI 1386397651
2712 E JOHNSON AVE
Jonesboro, AR 72405
(870) 932-2800
✔ PECOS✔ Accepts Medicare1.6 mi
Nurse Practitioner
NPI 1417238981
1150 E MATTHEWS AVE STE A
Jonesboro, AR 72401
(870) 243-0424
✔ PECOS✔ Accepts Medicare1.6 mi
Nurse Practitioner
NPI 1154194579
1150 E MATTHEWS AVE
Jonesboro, AR 72401
(870) 243-0424
✔ PECOS✔ Accepts Medicare1.6 mi
Nurse Practitioner
NPI 1093309106
1150 E MATTHEWS AVE STE 101A
Jonesboro, AR 72401
(870) 243-0424
✔ PECOS1.6 mi
Nurse Practitioner
NPI 1417220526
1150 E MATTHEWS AVE STE A
Jonesboro, AR 72401
(870) 243-0424
✔ PECOS✔ Accepts Medicare1.6 mi
Nurse Practitioner
NPI 1467055400
1150 E MATTHEWS AVE STE 101A
Jonesboro, AR 72401
(870) 243-0424
✔ PECOS✔ Accepts Medicare1.6 mi
Nurse Practitioner
NPI 1679418347
1150 E MATTHEWS AVE STE A
Jonesboro, AR 72401
(870) 243-0424
✔ PECOS✔ Accepts Medicare1.6 mi
Nurse Practitioner
NPI 1922758259
1150 E MATTHEWS AVE
Jonesboro, AR 72401
(870) 243-0424
✔ PECOS1.6 mi
Certified Clinical Nurse Specialist (CNS)
NPI 1972978591
1150 E MATTHEWS AVE STE 101A
Jonesboro, AR 72401
(870) 243-0424
✔ PECOS✔ Accepts Medicare1.6 mi
Mental Health Counselor
NPI 1679724504
1815 PLEASANT GROVE RD
Jonesboro, AR 72401
(870) 933-6886
✔ PECOS✔ Accepts Medicare2.9 mi
See all 37 clinicians

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 Mental Health And Wellness, LLC's NPI number?

The NPI number for Renew Mental Health And Wellness, LLC is 1467134007. It was assigned to this organization in the NPPES registry on August 3, 2023.

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 Specialist with taxonomy code 174400000X.

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.

When was this NPI record last updated?

The NPPES record for Renew Mental Health And Wellness, LLC was last updated on August 3, 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.