Soul Renewal Family Counseling Inc
NPI 1295387603ActiveOrganization· Counselor, Mental Health· Lemon Grove, CA
Counselor, Mental Health in Lemon Grove, California, registered in NPPES in July 2019. The authorized official on file is Patricia Johnson Mims, LMFT, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1295387603 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 15, 2019 |
| Last updated in NPPES | Mar 8, 2024 |
| Certified by provider | Mar 8, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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