RENEWAL THERAPY SERVICES LLC
NPI 1699503136
Counselor - Mental Health in Fort Wayne, IN

Active since July 25, 2024
3030 LAKE AVE STE 23, FORT WAYNE, IN 46805(260) 267-5631 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Renewal Therapy Services Llc NPPES

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

RENEWAL THERAPY SERVICES LLC (NPI 1699503136) is a healthcare organization registered as a mental health in Fort Wayne, Indiana and active in the NPI registry since July 2024. The organization lists Vanessa Jones, Owner, as its authorized official.

NPPES Registry Identity

NPI1699503136
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameRENEWAL THERAPY SERVICES LLC
Location Address3030 LAKE AVE STE 23Fort Wayne, IN 46805-5428
Mailing Address3030 Lake Ave Ste 23Fort Wayne, IN 46805-5428 · (260) 267-5631
Organization SubpartNo
Authorized OfficialVanessa JonesOwner · (260) 267-5631
Enumeration DateJuly 25, 2024
Last NPPES UpdateFebruary 16, 2026
NPPES CertifiedFebruary 16, 2026
✔ NPI 1699503136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
Also ListedOccupational TherapistTaxonomy 225X00000X
3030 LAKE AVE STE 23, Fort Wayne, IN 46805

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

Accepted Insurance

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 Therapy Services Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Renewal Therapy Services LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Occupational Therapist in Private Practice
NPI 1184586992
3030 LAKE AVE STE 27
Fort Wayne, IN 46805
(260) 267-5631
Same address
Marriage and Family Therapist
NPI 1881148666
2712 S CALHOUN ST
Fort Wayne, IN 46807
(260) 744-4326
✔ PECOS✔ Accepts Medicare2.9 mi
Mental Health Counselor
NPI 1144664574
2712 S CALHOUN ST
Fort Wayne, IN 46807
(260) 744-4326
✔ PECOS✔ Accepts Medicare2.9 mi
Mental Health Counselor
NPI 1568778967
1800 WESLEY RD
Auburn, IN 46706
(260) 925-2453
✔ PECOS20 mi
Mental Health Counselor
NPI 1194655274
404 E WASHINGTON BLVD
Fort Wayne, IN 46802
(260) 266-0780
✔ PECOS25 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 Renewal Therapy Services LLC's NPI number?

The NPI number for Renewal Therapy Services LLC is 1699503136. It was assigned to this organization in the NPPES registry on July 25, 2024.

Where is Renewal Therapy Services LLC located?

Renewal Therapy Services LLC is located at 3030 Lake Ave Ste 23, Fort Wayne, IN 46805. The listed phone number is (260) 267-5631.

What is Renewal Therapy Services LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Renewal Therapy Services LLC enrolled in Medicare?

Yes. Renewal Therapy Services LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renewal Therapy Services LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Renewal Therapy 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. The largest specialties are Mental Health Counselor (3), Marriage and Family Therapist (1) and Occupational Therapist in Private Practice (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Renewal Therapy Services LLC accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Renewal Therapy Services LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Renewal Therapy Services LLC was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.