Renae Marie Courtney, PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

2010032220 Issued in MO

Practice address

1531 E Bradford Pkwy
Suite 304
Springfield, MO 65804-6566

Phone

(417) 888-0861

Fax

(417) 888-0857

NPI assigned

Sep 15, 2010

Last updated

Nov 3, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• A Life Transformation Center, LLC

  • Psychologist
  • Springfield, MO
  • NPI 1396020095
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320278400000",
    "number": "1033427810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 E BRADFORD PKWY",
            "address_2": "SUITE 304",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046566",
            "telephone_number": "417-888-0861",
            "fax_number": "417-888-0857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 E BRADFORD PKWY",
            "address_2": "SUITE 304",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658046566",
            "telephone_number": "417-888-0861",
            "fax_number": "417-888-0857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTNEY",
        "first_name": "RENAE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2011-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MO",
            "license": "2010032220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396020095",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Countryside Counseling LLC
• Kiley Counts, DPT
• Stephane Counts, FNP
• Daniel R Coupe, DPT
• Terri Courtney-Miller, LPC
• Shaun Courtney, PLPC
• Andrea Cousins
• Covenant Counseling
• Covenant Counseling LLC
• Grace Elizabeth Cowan

• Clinical Psychologist in Springfield, MO
• Providers in Springfield, MO by specialty
• Clinical Psychologist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.