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MIND RENEURAL LLC
NPI 1639728595
Social Worker - Clinical in Colorado Springs, CO

Active since September 04, 2019
5040 CORPORATE PLAZA DR STE 7G, COLORADO SPRINGS, CO 80919(928) 853-5019 Get Directions Write a Review

NPPES record last updated: September 4, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mind Reneural Llc NPPES

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

MIND RENEURAL LLC (NPI 1639728595) is a healthcare organization registered as a clinical in Colorado Springs, Colorado and active in the NPI registry since September 2019. The organization lists Zachary L Guzman, Owner, as its authorized official.

NPPES Registry Identity

NPI1639728595
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMIND RENEURAL LLC
Location Address5040 CORPORATE PLAZA DR STE 7GColorado Springs, CO 80919-6100
Mailing Address5040 Corporate Plaza Dr Ste 7gColorado Springs, CO 80919-6100 · (928) 853-5019
Phone(928) 853-5019
Organization SubpartNo
Authorized OfficialZachary L GuzmanOwner · (928) 853-5019
Enumeration DateSeptember 4, 2019
✔ NPI 1639728595 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.
5040 CORPORATE PLAZA DR STE 7G, Colorado Springs, CO 80919
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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 Reneural Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mind Reneural LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Zachary Guzman, LCSW
Clinical Social Worker
NPI 1700244084
630 E LAS ANIMAS ST
Colorado Springs, CO 80903
(928) 853-5019
✔ PECOS✔ Accepts Medicare6.3 mi
Janeen Mongar, LPC, LMT
Mental Health Counselor
NPI 1376034645
6510 S ACADEMY BLVD STE 271A
Colorado Springs, CO 80906
(719) 231-6187
✔ PECOS✔ Accepts Medicare9.9 mi

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 Reneural LLC's NPI number?

The NPI number for Mind Reneural LLC is 1639728595. It was assigned to this organization in the NPPES registry on September 4, 2019.

Where is Mind Reneural LLC located?

Mind Reneural LLC is located at 5040 Corporate Plaza Dr Ste 7G, Colorado Springs, CO 80919. The listed phone number is (928) 853-5019.

What is Mind Reneural LLC's specialty?

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

Is Mind Reneural LLC enrolled in Medicare?

Yes. Mind Reneural LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mind Reneural LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mind Reneural LLC, in Clinical Social Worker and Mental Health Counselor. 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. Of these, 2 practice 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 Mind Reneural LLC was last updated on September 4, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.