RENEWAL OF THE MIND
NPI 1548835705
Clinic/Center - Mental Health (Including Community Mental Health Center) in Fairfax, VA
About Renewal Of The Mind NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENEWAL OF THE MIND (NPI 1548835705) is a healthcare organization registered as a mental health (including community mental health center) in Fairfax, Virginia and active in the NPI registry since May 2021. The organization lists Naglaa Moussa, Founder, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Renewal Of The Mind 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 Renewal Of The Mind, 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 Renewal Of The Mind's NPI number?
The NPI number for Renewal Of The Mind is 1548835705. It was assigned to this organization in the NPPES registry on May 20, 2021.
Where is Renewal Of The Mind located?
Renewal Of The Mind is located at 10560 Main St, Fairfax, VA 22030. The listed phone number is (972) 880-3510.
What is Renewal Of The Mind'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 Renewal Of The Mind enrolled in Medicare?
Yes. Renewal Of The Mind is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Renewal Of The Mind?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Renewal Of The Mind. 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 Renewal Of The Mind was last updated on May 20, 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.
# Renewal Of The Mind · NPI 1548835705
Mental Health (Including Community Mental Health Center) organization in Fairfax, Virginia. Organization record, active in the CMS NPPES registry since May 20, 2021.
## Identity
- **NPI:** 1548835705 (Entity type: Organization)
- **Enumerated:** May 20, 2021
- **Primary specialty:** Clinic/Center - Mental Health (Including Community Mental Health Center) · taxonomy 261QM0801X
- **Organization subpart:** No
- **Authorized official:** Naglaa Moussa, FOUNDER
## Practice location
- **Address:** 10560 MAIN ST, Fairfax, VA 22030-7182
- **Phone:** (972) 880-3510
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1548835705) · Data from the CMS NPPES public registry.