Joanne Mensalvas Requijo, LPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC009386 Issued in GA

Practice address

233 12TH Street Suite 334
The Psychology Clinic
Columbus, GA 31901-5333

Phone

(706) 225-0322

Fax

(706) 225-0321

NPI assigned

Jul 9, 2014

Last updated

Jan 23, 2017By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Ellie Mental Health - North Central Alabama LLC

  dba Ellie Mental Health

  • Mental Health Counselor
  • Mountain BRK, AL
  • NPI 1922793314
  NPD (past)

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485129600000",
    "number": "1053727206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 12TH STREET SUITE 334",
            "address_2": "THE PSYCHOLOGY CLINICA",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319015333",
            "telephone_number": "706-225-0322",
            "fax_number": "706-225-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 12TH STREET SUITE 334",
            "address_2": "THE PSYCHOLOGY CLINIC",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319015333",
            "telephone_number": "706-225-0322",
            "fax_number": "706-225-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REQUIJO",
        "first_name": "JOANNE",
        "middle_name": "MENSALVAS",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-09",
        "last_updated": "2017-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC009386",
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "AL",
            "license": "3551",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renew Wound Care of Georgia LLC
• Renewal, Inc
• Brittany Wheeler Renfroe, PA-C
• Monica Renner-Shirley
• Michelle Lynn Repass
• Christopher Lee Resch, PA
• Lindsey Marie Resnick, LCSW
• Peter F Resnick, MD
• Sheryl Ann Resnick, RN
• Resolution Behavioral Health, LLC

• Counselor in Columbus, GA
• Providers in Columbus, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; 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.