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RENEW YOU COUNSELING CENTER LLC
NPI 1750807749
Clinic/Center - Mental Health (Including Community Mental Health Center) in Chicago, IL

Active since August 21, 2017
1209 W DIVERSEY PWKY UNIT G-2, CHICAGO, IL 60614(773) 236-8566(773) 257-7553 Get Directions Write a Review

NPPES record last updated: July 24, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 24, 2024, Jul 21, 2022, May 6, 2022 and 3 more (6 updates tracked since 2017).

About Renew You Counseling Center Llc NPPES

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

RENEW YOU COUNSELING CENTER LLC (NPI 1750807749) is a healthcare organization registered as a mental health (including community mental health center) in Chicago, Illinois and active in the NPI registry since August 2017. The organization lists Jacob Rosser, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1750807749
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameRENEW YOU COUNSELING CENTER LLC
Location Address1209 W DIVERSEY PWKY UNIT G-2Chicago, IL 60614-1201
Mailing Address1209 W Diversey Pkwy Unit G-2Chicago, IL 60614-1201 · (773) 236-8566 · Fax (773) 257-7553
Phone(773) 236-8566
Fax(773) 257-7553
Organization SubpartNo
Authorized OfficialJacob RosserManaging Member · (773) 236-8566
Enumeration DateAugust 21, 2017
Last NPPES UpdateJuly 24, 20246 updates tracked since enumeration
NPPES CertifiedJuly 24, 2024
✔ NPI 1750807749 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
License✔ Licensed in IL · 071.009553
1209 W DIVERSEY PWKY UNIT G-2, Chicago, IL 60614
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Renew You Counseling Center 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 Renew You Counseling Center LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Christy Thielen
Mental Health Counselor
NPI 1083104897
1209 W DIVERSEY PKWY UNIT G-2
Chicago, IL 60614
(773) 236-8566
✔ PECOS✔ Accepts MedicareSame address

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 Renew You Counseling Center LLC's NPI number?

The NPI number for Renew You Counseling Center LLC is 1750807749. It was assigned to this organization in the NPPES registry on August 21, 2017.

Where is Renew You Counseling Center LLC located?

Renew You Counseling Center LLC is located at 1209 W Diversey Pwky Unit G-2, Chicago, IL 60614. The listed phone number is (773) 236-8566.

What is Renew You Counseling Center 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 Renew You Counseling Center LLC enrolled in Medicare?

Yes. Renew You Counseling Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Renew You Counseling Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Renew You Counseling Center 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 Renew You Counseling Center LLC was last updated on July 24, 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.