Renewed Vision Counseling and Developmental Disability Center PC
NPI 1174122170 · Mental Health Counselor · Omaha, NE
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Renewed Vision Counseling and Developmental Disability Center PC is a Mental Health Counselor organization in Omaha, NE (NPI 1174122170).
Provider details
- NPI number
- 1174122170
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Christopher Marshall, Owner(531) 876-7455
Specialties & taxonomies
Behavioral Health & Social Service Providers
Agencies
Ambulatory Health Care Facilities
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000X
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
- 2020-10-21
- Last updated
- 2025-02-26
- Certified
- 2021-07-02
Frequently asked questions
- What is Renewed Vision Counseling and Developmental Disability Center PC's NPI number?
- Renewed Vision Counseling and Developmental Disability Center PC's National Provider Identifier (NPI) is 1174122170, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renewed Vision Counseling and Developmental Disability Center PC?
- Renewed Vision Counseling and Developmental Disability Center PC is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Renewed Vision Counseling and Developmental Disability Center PC located?
- Renewed Vision Counseling and Developmental Disability Center PC's practice location on file with NPPES is 4610 S. 133rd St, Omaha, NE 68137-1133.
- What is Renewed Vision Counseling and Developmental Disability Center PC's phone number?
- The practice phone number listed in the NPPES registry for Renewed Vision Counseling and Developmental Disability Center PC is (402) 275-6413.
- Does Renewed Vision Counseling and Developmental Disability Center PC accept Medicare?
- Renewed Vision Counseling and Developmental Disability Center PC 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 Vision Counseling and Developmental Disability Center PC?
- The authorized official listed on Renewed Vision Counseling and Developmental Disability Center PC's NPPES record is Christopher Marshall, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renewed Vision Counseling and Developmental Disability Center PC's NPI active?
- Yes — Renewed Vision Counseling and Developmental Disability Center PC's NPI (1174122170) is active in the NPPES registry as of the last update on 2025-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.