Lori Beth Rentzel, MA, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

83689 Issued in CA

Practice address

411 Chinn St
Santa Rosa, CA 95404-4338

Phone

(707) 338-3543

NPI assigned

Jun 16, 2018

Last updated

Jun 16, 2018By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1529107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1043704760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 ROUND WALK CIR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949541597",
            "telephone_number": "707-338-3543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 CHINN ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044338",
            "telephone_number": "707-338-3543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENTZEL",
        "first_name": "LORI",
        "middle_name": "BETH",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-16",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "83689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elijsha McKenzie Remy
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• Isabella Porenn Rerecich
• Jacy Lynn Resendez
• Bradley Hartwell Restel, M.D.

• Marriage & Family Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.