Renewed Therapy PLLC
NPI 1104603455 · Adolescent and Children Mental Health Clinic/Center · Morrisville, NC
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Renewed Therapy PLLC is a Adolescent and Children Mental Health Clinic/Center organization in Morrisville, NC (NPI 1104603455).
Provider details
- NPI number
- 1104603455
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Beverly Chisholm, Owner / Clinical Director(919) 244-7638
Specialties & taxonomies
Ambulatory Health Care Facilities
- Peer Specialist175T00000X
Other Service Providers
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2023-09-11
- Last updated
- 2025-12-15
- Certified
- 2025-12-15
Frequently asked questions
- What is Renewed Therapy PLLC's NPI number?
- Renewed Therapy PLLC's National Provider Identifier (NPI) is 1104603455, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renewed Therapy PLLC?
- Renewed Therapy PLLC is classified in the NPPES registry as Adolescent and Children Mental Health Clinic/Center (Ambulatory Health Care Facilities).
- Where is Renewed Therapy PLLC located?
- Renewed Therapy PLLC's practice location on file with NPPES is 105 Inisfree Pl, Morrisville, NC 27560-7525.
- What is Renewed Therapy PLLC's phone number?
- The practice phone number listed in the NPPES registry for Renewed Therapy PLLC is (919) 244-7638.
- Does Renewed Therapy PLLC accept Medicare?
- Renewed Therapy PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Renewed Therapy PLLC?
- The authorized official listed on Renewed Therapy PLLC's NPPES record is Beverly Chisholm, Owner / Clinical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renewed Therapy PLLC's NPI active?
- Yes — Renewed Therapy PLLC's NPI (1104603455) is active in the NPPES registry as of the last update on 2025-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.