LIFE ANEW THERAPY AND CONSULTING, PLLC
NPI 1902630023
Social Worker - Clinical in Little Rock, AR

Active since August 30, 2024
400 W CAPITOL AVE STE 1700, LITTLE ROCK, AR 72201(501) 209-7522 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Life Anew Therapy And Consulting, Pllc NPPES

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

LIFE ANEW THERAPY AND CONSULTING, PLLC (NPI 1902630023) is a healthcare organization registered as a clinical in Little Rock, Arkansas and active in the NPI registry since August 2024. The organization lists Shante Mormon, Owner/clinical Manager, as its authorized official.

NPPES Registry Identity

NPI1902630023
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLIFE ANEW THERAPY AND CONSULTING, PLLC
Location Address400 W CAPITOL AVE STE 1700Little Rock, AR 72201-3438
Mailing Address400 W Capitol Ave Ste 1700Little Rock, AR 72201-3438 · (501) 209-7522
Organization SubpartNo
Authorized OfficialShante MormonOwner/clinical Manager · (501) 209-7522
Enumeration DateAugust 30, 2024
Last NPPES UpdateSeptember 12, 2024
NPPES CertifiedSeptember 12, 2024
✔ NPI 1902630023 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.
400 W CAPITOL AVE STE 1700, Little Rock, AR 72201

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)

Life Anew Therapy And Consulting, Pllc 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 Life Anew Therapy And Consulting, PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Social Worker
NPI 1932823358
400 W CAPITOL AVE STE 1700
Little Rock, AR 72201
(501) 209-7522
✔ 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 Life Anew Therapy And Consulting, PLLC's NPI number?

The NPI number for Life Anew Therapy And Consulting, PLLC is 1902630023. It was assigned to this organization in the NPPES registry on August 30, 2024.

Where is Life Anew Therapy And Consulting, PLLC located?

Life Anew Therapy And Consulting, PLLC is located at 400 W Capitol Ave Ste 1700, Little Rock, AR 72201. The listed phone number is (501) 209-7522.

What is Life Anew Therapy And Consulting, PLLC's specialty?

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

Is Life Anew Therapy And Consulting, PLLC enrolled in Medicare?

Yes. Life Anew Therapy And Consulting, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Life Anew Therapy And Consulting, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Life Anew Therapy And Consulting, PLLC. 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 Life Anew Therapy And Consulting, PLLC was last updated on September 12, 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.