Provider Demographics
NPI:1386665404
Name:RENEWAL MINISTRIES, INC.
Entity type:Organization
Organization Name:RENEWAL MINISTRIES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:D
Authorized Official - Last Name:SCHMIDT
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:402-486-1600
Mailing Address - Street 1:111 N 56TH ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68504-3583
Mailing Address - Country:US
Mailing Address - Phone:402-486-1600
Mailing Address - Fax:402-486-1600
Practice Address - Street 1:111 N 56TH ST
Practice Address - Street 2:SUITE 302
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68504-3583
Practice Address - Country:US
Practice Address - Phone:402-486-1600
Practice Address - Fax:402-486-1600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 101YP2500X, 1041C0700X, 106H00000X
NE582103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE100251308-00Medicaid
NE=========-26Medicaid