RENEWING MINDS THERAPY, P.C. (NPI# 1629546296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629546296 |
Entity Type | Organization |
Organization Name | RENEWING MINDS THERAPY, P.C. |
Practice Address |
1555 Naperville Wheaton Rd Ste 212 Naperville IL 60563-1517 |
Practice Telephone | 6309312388 |
Enumeration Date | 2018-11-13 |
Last Update Date | 2018-11-13 |
Authorized Official Name | JESSIE GIESE (OWNER/LICENSED CLINICAL SOCIAL WORK) |
Authorized Official Telephone | 6309312388 |
Authorized Official Credential | LCSW, BCBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 1780956482 | 05 |
Street Address |
1555 NAPERVILLE WHEATON RD STE 212 |
City | NAPERVILLE |
State | IL |
Zip Code | 60563-1517 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780956482 | Jessie Giese | Social Worker | 1555 Naperville Wheaton Rd Ste 212, Naperville, IL 60563-1517 | 2012-01-27 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952902884 | Julia Ann Gottschalk | Nurse Practitioner | 1979 Mcdowell Rd, Unit 103, Naperville, IL 60563 | 2020-11-06 |
1700484847 | Lee Michael Harms I | Social Worker | 1952 Mcdowell Road, Suite 305, Naperville, IL 60563 | 2020-10-12 |
1881208478 | Poornima Swamy Gangaji | Dentist | 760 N, Illinois Rte 59, Ste100, Naperville, IL 60563 | 2020-09-01 |
1851901219 | Adiana Lebron | Social Worker | 2948 Artestian Road, Naperville, IL 60563 | 2020-07-31 |
1194342014 | Ingrid Lara | Behavioral Analyst | 1975 Mcdowell Rd #101, Naperville, IL 60563 | 2020-06-26 |
1396383030 | Jack Kelly | Assistant Behavior Analyst | 1975 Mcdowell Rd. #101, Naperville, IL 60563 | 2019-12-12 |
1316583529 | Arvind Ramakrishnan | Behavioral Analyst | 1975 Mcdowell Rd., Naperville, IL 60563 | 2019-11-22 |
1679115778 | Melissa Macias | Behavioral Analyst | 1975 Mcdowell Road, #101, Naperville, IL 60563 | 2019-10-10 |
1629619275 | Meghann Reid Vizintos | Physician Assistant | 1763 Freedom Dr Ste 117, Naperville, IL 60563 | 2019-10-04 |
1417413543 | Vikram Singh Cheema | Physician Assistant | 1335 North Mill Street, Naperville, IL 60563 | 2019-02-13 |
Find all providers in zip 60563 |
Taxonomy Code | 261QM0801X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Mental Health (Including Community Mental Health Center) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326665217 | Althea R Olson PC | Clinic/Center | 3024 Kentshire Cir, Naperville, IL 60564-8425 | 2020-06-26 |
1881159077 | Ivy Lane Counseling | Clinic/Center | 552 S Washington St Ste 107, Naperville, IL 60540-6669 | 2019-02-01 |
1578067237 | Talented Tenth Social Services | Clinic/Center | 30w483 Fairway Dr, Naperville, IL 60563-9165 | 2018-03-19 |
1174954937 | Trinity Services Inc. | Clinic/Center | 24 W. 500 Maple Ave., Suite 214, Naperville, IL 60540 | 2013-12-04 |
1245580042 | Kids Above All | Clinic/Center | 146 N Sleight St, Naperville, IL 60540-4740 | 2012-09-19 |
1396914925 | Trinity Services Inc. | Clinic/Center | 1260 Iroquois Ave., Naperville, IL 60563-8549 | 2008-02-28 |
1073685715 | Lds Family Services | Clinic/Center | 1320 Ridgeland Ave, Suite B, Naperville, IL 60563-1546 | 2006-11-15 |
1285272732 | Alternative Choices Counseling LLC | Clinic/Center | 600 S Washington St Ste 302, Naperville, IL 60540-6667 | 2019-12-16 |
1457998056 | Erin Leyba, L.c.s.w., Ph.d., LLC | Clinic/Center | 24w788 75th St, Naperville, IL 60565-1684 | 2019-12-03 |
1851862965 | Vidya Therapy, Inc | Clinic/Center | 639 S Washington St, Naperville, IL 60540-6643 | 2018-12-16 |
Find all providers in NAPERVILLE |
City | NAPERVILLE |
Zip Code | 60563 |
Please comment or provide details below to improve the information on RENEWING MINDS THERAPY, P.C..
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.