RELEASE AND RENEW MENTAL WELLNESS CLINIC
NPI 1972216869
Nurse Practitioner - Psychiatric/Mental Health in Lutherville Timonium, MD

Q: What is Release And Renew Mental Wellness Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since January 05, 2023

1301 YORK RD STE 800, LUTHERVILLE TIMONIUM, MD 21093(410) 376-8728(410) 862-3774 Get Directions Write a Review

NPPES record last updated: July 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 19, 2024, Apr 21, 2024, Jan 5, 2023 (3 updates tracked since 2023).

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About Release And Renew Mental Wellness Clinic NPPES

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

RELEASE AND RENEW MENTAL WELLNESS CLINIC (NPI 1972216869), doing business as Release And Renew Mental Wellness, is a healthcare organization registered as a psychiatric/mental health in Lutherville Timonium, Maryland and active in the NPI registry since January 2023. The organization lists Tamara Pottillo, Owner, as its authorized official.

NPPES Registry Identity

NPI1972216869

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameRELEASE AND RENEW MENTAL WELLNESS CLINIC

Location Address1301 YORK RD STE 800Lutherville Timonium, MD 21093-6011

Mailing Address1301 York Rd Ste 800Lutherville Timonium, MD 21093-6011 · (410) 376-8728 · Fax (410) 862-3774

Phone(410) 376-8728

Fax(410) 862-3774

Organization SubpartNo

Authorized OfficialTamara PottilloOwner · (443) 745-8620

Enumeration DateJanuary 5, 2023

Last NPPES UpdateJuly 19, 20243 updates tracked since enumeration

NPPES CertifiedJuly 19, 2024

✔ NPI 1972216869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

1301 YORK RD STE 800, Lutherville Timonium, MD 21093

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Other Names 1

Former Legal Business NameRelease And Renew Mental Wellness

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Release And Renew Mental Wellness Clinic 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 Release And Renew Mental Wellness Clinic, which bills Medicare for the services this clinician delivers.

Clinician (1)

Tamara Pottillo

Nurse Practitioner

NPI 1922717495

1301 YORK RD STE 800
Lutherville Timonium, MD 21093

(410) 376-8728

✔ PECOS0.1 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 Release And Renew Mental Wellness Clinic's NPI number?

The NPI number for Release And Renew Mental Wellness Clinic is 1972216869. It was assigned to this organization in the NPPES registry on January 5, 2023. The provider was formerly known as Release And Renew Mental Wellness.

Where is Release And Renew Mental Wellness Clinic located?

Release And Renew Mental Wellness Clinic is located at 1301 York Rd Ste 800, Lutherville Timonium, MD 21093. The listed phone number is (410) 376-8728.

What is Release And Renew Mental Wellness Clinic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Release And Renew Mental Wellness Clinic enrolled in Medicare?

Yes. Release And Renew Mental Wellness Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Release And Renew Mental Wellness Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Release And Renew Mental Wellness Clinic. 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 Release And Renew Mental Wellness Clinic was last updated on July 19, 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.