PEACE RENEWED COUNSELING PLLC
NPI 1902638141
Counselor - Mental Health in Bloomingdale, IL
About Peace Renewed Counseling Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PEACE RENEWED COUNSELING PLLC (NPI 1902638141) is a healthcare organization registered as a mental health in Bloomingdale, Illinois and active in the NPI registry since August 2024. The organization maintains a secondary practice location in West Chicago and lists Michael J Walters, Owner/therapist, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Peace Renewed Counseling 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 Peace Renewed Counseling PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Peace Renewed Counseling PLLC's NPI number?
The NPI number for Peace Renewed Counseling PLLC is 1902638141. It was assigned to this organization in the NPPES registry on August 16, 2024.
Where is Peace Renewed Counseling PLLC located?
Peace Renewed Counseling PLLC is located at 201 E Army Trail Rd Ste 207, Bloomingdale, IL 60108. The listed phone number is (630) 358-9040.
What is Peace Renewed Counseling PLLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Peace Renewed Counseling PLLC enrolled in Medicare?
Yes. Peace Renewed Counseling PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Peace Renewed Counseling PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Peace Renewed Counseling 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 Peace Renewed Counseling PLLC was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 days 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.
# Peace Renewed Counseling Pllc · NPI 1902638141
Mental Health organization in Bloomingdale, Illinois. Organization record, active in the CMS NPPES registry since August 16, 2024.
## Identity
- **NPI:** 1902638141 (Entity type: Organization)
- **Enumerated:** August 16, 2024
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Michael Walters, OWNER/THERAPIST
## Practice location
- **Address:** 201 E ARMY TRAIL RD STE 207, Bloomingdale, IL 60108-2103
- **Phone:** (630) 358-9040 · **Fax:** (630) 982-3138
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 30, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1902638141) · Data from the CMS NPPES public registry.