TAILORED BRAIN HEALTH PLLC
NPI 1962081885
Clinic/Center - Adult Mental Health in Greensboro, NC

Active since April 07, 2021
717 GREEN VALLEY RD STE 200, GREENSBORO, NC 27408(336) 542-1800 Get Directions Write a Review

NPPES record last updated: May 16, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 16, 2022, Feb 13, 2022, May 25, 2021 and 1 more (4 updates tracked since 2021).

About Tailored Brain Health Pllc NPPES

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

TAILORED BRAIN HEALTH PLLC (NPI 1962081885) is a healthcare organization registered as an adult mental health in Greensboro, North Carolina and active in the NPI registry since April 2021. The organization maintains a secondary practice location in Greensboro and lists Jenna Renfroe, Provider/owner, as its authorized official.

NPPES Registry Identity

NPI1962081885
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameTAILORED BRAIN HEALTH PLLC
Location Address717 GREEN VALLEY RD STE 200Greensboro, NC 27408-2156
Mailing Address717 Green Valley Rd Ste 200Greensboro, NC 27408-2156 · (336) 542-1800
Organization SubpartNo
Authorized OfficialJenna RenfroeProvider/owner · (336) 542-1800
Enumeration DateApril 7, 2021
Last NPPES UpdateMay 16, 20224 updates tracked since enumeration
NPPES CertifiedMay 16, 2022
✔ NPI 1962081885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
717 GREEN VALLEY RD STE 200, Greensboro, NC 27408

Secondary Practice Location 1

Location 13125 Kathleen Ave Ste 192Greensboro, NC 27408-7819 · Phone (336) 542-1800

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tailored Brain Health Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Tailored Brain Health PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Psychologist Billing Independently
NPI 1881196103
717 GREEN VALLEY RD STE 200
Greensboro, NC 27408
(336) 542-1800
✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1043682669
717 GREEN VALLEY RD STE 200
Greensboro, NC 27408
(336) 542-1800
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1740523463
717 GREEN VALLEY RD STE 200
Greensboro, NC 27408
(336) 542-1800
✔ PECOS✔ Accepts MedicareSame address
Psychologist Billing Independently
NPI 1568658391
2817 ROCK MERRITT AVE
Fort Liberty, NC 28310
(910) 907-8922
✔ Accepts Medicare78 mi
Clinical Psychologist
NPI 1306639398
16000 PINES BLVD UNIT 820873
Pembroke Pines, FL 33082
(305) 520-9122
✔ PECOS✔ Accepts Medicare695 mi
Clinical Psychologist
NPI 1295519866
1102 S PARK ST STE 300
Madison, WI 53715
(608) 263-9550
✔ PECOS✔ Accepts Medicare701 mi

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 Tailored Brain Health PLLC's NPI number?

The NPI number for Tailored Brain Health PLLC is 1962081885. It was assigned to this organization in the NPPES registry on April 7, 2021.

Where is Tailored Brain Health PLLC located?

Tailored Brain Health PLLC is located at 717 Green Valley Rd Ste 200, Greensboro, NC 27408. The listed phone number is (336) 542-1800.

What is Tailored Brain Health PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Tailored Brain Health PLLC enrolled in Medicare?

Yes. Tailored Brain Health PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tailored Brain Health PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Tailored Brain Health 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. The largest specialties are Clinical Psychologist (4) and Psychologist Billing Independently (2). Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Tailored Brain Health PLLC accept?

Health plans from Blue Cross and Blue Shield of NC list Tailored Brain Health PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tailored Brain Health PLLC was last updated on May 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.