Individual provider Active NPI

Doan Renelus, LAPC, NCC

  • Mental Health Counselor
  • Bloomington, IN
National Provider Identifier
1053215905
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
99139112A Issued in IN
Practice address
2786 S Walnut Street Pike # A221
Bloomington, IN 47401-8223
Phone
(317) 520-1042
NPI assigned
Oct 5, 2026
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 99139112A IN Primary

Addresses

Primary practice location

2786 S Walnut Street Pike # A221
Bloomington, IN 47401-8223

Mailing address

2786 S Walnut Street Pike # A221
Bloomington, IN 47401-8223

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1053215905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2786 S WALNUT STREET PIKE # A221",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2786 S WALNUT STREET PIKE # A221",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474018223",
            "telephone_number": "317-520-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENELUS",
        "first_name": "DOAN",
        "credential": "LAPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "99139112A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.