RENEW MENTAL HEALTH AND WELLNESS, LLC
NPI 1720802341
Social Worker - Clinical in Jonesboro, AR

NPI Status: Active since November 11, 2024

Contact Information

1150 E MATTHEWS AVE STE 101A
JONESBORO, AR
ZIP 72401
Phone: (870) 243-0424

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Authorized Official
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Social Worker
Clinical

About RENEW MENTAL HEALTH AND WELLNESS, LLC

This page provides the complete NPI Profile along with additional information for Renew Mental Health And Wellness, Llc, a provider established in Jonesboro, Arkansas operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1720802341 assigned on November 2024. The practitioner's primary taxonomy code is 1041C0700X. The provider is registered as an organization and their NPI record was last updated one year ago. Renew Mental Health And Wellness, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Autum Breckenridge (Billing And Credentialing)

NPI: 1720802341
Provider Name: RENEW MENTAL HEALTH AND WELLNESS, LLC
Entity Type: Organization
Location Address: 1150 E MATTHEWS AVE STE 101A JONESBORO, AR 72401
Location Phone: (870) 243-0424
Mailing Address: 1150 E MATTHEWS AVE STE 101A JONESBORO, AR 72401
Mailing Phone: (870) 243-0424
Is Sole Proprietor?: No
Is Organization Subpart?: Yes
Enumeration Date: 11-11-2024
Last Update Date: 11-11-2024
Code Navigator

A clinical social worker like Renew Mental Health And Wellness, Llc is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Social Worker Clinical
Taxonomy Code: 1041C0700X
Type: Behavioral Health & Social Service Providers
Taxonomy Description: 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.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name: AUTUM BRECKENRIDGE
Authorized Official Title: BILLING AND CREDENTIALING
Authorized Official Phone: (870) 243-3644

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
1679724504	MEDICAID (05)	AR

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	7	2	0	8	0	2	3	4	1
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	7	4	0	16	0	4	3	8
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 1 + 6 + 0 + 4 + 3 + 8 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 1									1

The NPI number 1720802341 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location

The following 6 providers are registered at the same or nearby location.

BRITTANY LANE REYNOLDS MSN, APRN, FNP-C

Nurse Practitioner

(Family)