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THE MIND RENEWED LLC
NPI 1932616109
Community/Behavioral Health in Loganville, GA

Active since January 09, 2018
299 COOPER RD STE A, LOGANVILLE, GA 30052(678) 643-6782(678) 643-6782 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 8, 2026, Jan 9, 2018 (2 updates tracked since 2018).

About The Mind Renewed Llc NPPES

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

THE MIND RENEWED LLC (NPI 1932616109) is a healthcare organization registered as a community/behavioral health in Loganville, Georgia and active in the NPI registry since January 2018. The organization lists Stacy W Froelich, Owner, as its authorized official.

NPPES Registry Identity

NPI1932616109
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameTHE MIND RENEWED LLC
Location Address299 COOPER RD STE ALoganville, GA 30052-2579
Mailing Address299 Cooper Rd Ste ALoganville, GA 30052-2579 · (678) 643-6782 · Fax (855) 463-3157
Phone(678) 643-6782
Fax(678) 643-6782
Organization SubpartNo
Authorized OfficialStacy W FroelichOwner · (678) 643-6782
Enumeration DateJanuary 9, 2018
Last NPPES UpdateSeptember 8, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2026
✔ NPI 1932616109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in GA · CSW006215
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
299 COOPER RD STE A, Loganville, GA 30052
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

The Mind Renewed Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to The Mind Renewed LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Mary Dunn
Mental Health Counselor
NPI 1669221891
299 COOPER RD STE A
Loganville, GA 30052
(678) 243-9118
✔ PECOSSame address
Stacy Froelich, LCSW
Clinical Social Worker
NPI 1033539093
299 COOPER RD STE A
Loganville, GA 30052
(678) 643-6782
✔ PECOSSame 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 The Mind Renewed LLC's NPI number?

The NPI number for The Mind Renewed LLC is 1932616109. It was assigned to this organization in the NPPES registry on January 9, 2018.

Where is The Mind Renewed LLC located?

The Mind Renewed LLC is located at 299 Cooper Rd Ste A, Loganville, GA 30052. The listed phone number is (678) 643-6782.

What is The Mind Renewed LLC's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is The Mind Renewed LLC enrolled in Medicare?

Yes. The Mind Renewed LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through The Mind Renewed LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to The Mind Renewed LLC, in Clinical Social Worker and Mental Health Counselor. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for The Mind Renewed LLC was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.