RENEWED OAKS THERAPY LLC
NPI 1710717392
Clinic/Center - Mental Health (Including Community Mental Health Center) in Farmington, AR

Active since August 07, 2024
128 SOUTHWINDS RD, FARMINGTON, AR 72730(479) 267-6934 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Renewed Oaks Therapy Llc NPPES

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

RENEWED OAKS THERAPY LLC (NPI 1710717392) is a healthcare organization registered as a mental health (including community mental health center) in Farmington, Arkansas and active in the NPI registry since August 2024. The organization lists Adam Persenaire, Therapist, as its authorized official.

NPPES Registry Identity

NPI1710717392
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameRENEWED OAKS THERAPY LLC
Location Address128 SOUTHWINDS RDFarmington, AR 72730-8678
Mailing AddressPo Box 34Prairie Grove, AR 72753-0034
Organization SubpartNo
Authorized OfficialAdam PersenaireTherapist · (479) 879-5916
Enumeration DateAugust 7, 2024
NPPES CertifiedAugust 7, 2024
✔ NPI 1710717392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
128 SOUTHWINDS RD, Farmington, AR 72730

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Renewed Oaks Therapy Llc 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 Renewed Oaks Therapy LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1518795657
1441 GENERAL FAGAN DR
Prairie Grove, AR 72753
(479) 879-5916
✔ PECOS✔ Accepts Medicare4.8 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 Renewed Oaks Therapy LLC's NPI number?

The NPI number for Renewed Oaks Therapy LLC is 1710717392. It was assigned to this organization in the NPPES registry on August 7, 2024.

Where is Renewed Oaks Therapy LLC located?

Renewed Oaks Therapy LLC is located at 128 Southwinds Rd, Farmington, AR 72730. The listed phone number is (479) 267-6934.

What is Renewed Oaks Therapy LLC'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 Renewed Oaks Therapy LLC enrolled in Medicare?

Yes. Renewed Oaks Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renewed Oaks Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Renewed Oaks Therapy 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Renewed Oaks Therapy LLC was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.