Renewal Therapy Services LLC
NPI 1699503136 · Mental Health Counselor · Fort Wayne, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Renewal Therapy Services LLC is a Mental Health Counselor organization in Fort Wayne, IN (NPI 1699503136).
Provider details
- NPI number
- 1699503136
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Vanessa Jones, Owner(260) 267-5631
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Marriage & Family Therapist106H00000X
Behavioral Health & Social Service Providers
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
- 2024-07-25
- Last updated
- 2026-02-16
- Certified
- 2026-02-16
Frequently asked questions
- What is Renewal Therapy Services LLC's NPI number?
- Renewal Therapy Services LLC's National Provider Identifier (NPI) is 1699503136, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Renewal Therapy Services LLC?
- Renewal Therapy Services LLC is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Renewal Therapy Services LLC located?
- Renewal Therapy Services LLC's practice location on file with NPPES is 3030 Lake Ave Ste 23, Fort Wayne, IN 46805-5428.
- What is Renewal Therapy Services LLC's phone number?
- The practice phone number listed in the NPPES registry for Renewal Therapy Services LLC is (260) 267-5631.
- Does Renewal Therapy Services LLC accept Medicare?
- Renewal Therapy Services LLC 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 Renewal Therapy Services LLC?
- The authorized official listed on Renewal Therapy Services LLC's NPPES record is Vanessa Jones, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Renewal Therapy Services LLC's NPI active?
- Yes — Renewal Therapy Services LLC's NPI (1699503136) is active in the NPPES registry as of the last update on 2026-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.