Renacer Behavioral Mental Health Clinic

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RENACER BEHAVIORAL MENTAL HEALTH CLINIC

Practice address

205 Commander CV
Stafford, VA 22554-2401

Phone

(571) 516-0132

NPI assigned

Jan 13, 2026

Last updated

Jan 13, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

LISANDRO FABIANAs reported in NPPES

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

Authorized official

Name

Lisandro Fabian, MDNPI 1710425517

Title

LPC

Phone

(571) 516-0132

Specialties & licenses 1

Addresses

Tax ID family

Renacer Behavioral Mental Health Clinic2 organizations share this tax ID, including this one

Part of

Renacer Behavioral Mental Health Clinic

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Renacer Behavioral Mental Health Clinic

  • Mental Health Counselor
  • Stafford, VA
  • NPI 1689521189
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisandro Fabian, M.D.

  • Mental Health Counselor
  • Stafford, VA
  • NPI 1710425517
  NPD Authorized official

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

{
    "created_epoch": "1768262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768262400000",
    "number": "1154289551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 COMMANDER CV",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225542401",
            "telephone_number": "571-516-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 COMMANDER CV",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225542401",
            "telephone_number": "571-516-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENACER BEHAVIORAL MENTAL HEALTH CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LISANDRO FABIAN",
        "enumeration_date": "2026-01-13",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A",
        "authorized_official_last_name": "FABIAN",
        "authorized_official_first_name": "LISANDRO",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "571-516-0132",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glory Reichard, DPT
• Kristi Diane Reiche, MSP, CCC-SLP
• Yolanda G Reid, MD
• Lauren Nicole Reiff, RBT
• William Reisenfeld, DPT
• Renacer Behavioral Mental Health Clinic
• Renaissance Healthcare Group Virginia, LLC (Pasadena Villa Outpatient- Stafford)
• Restore Lyfe LLC
• Jeremy Alexander Reuse, MSW
• Angelique Dejuan Reynolds-King

• Mental Health Counselor in Stafford, VA
• Providers in Stafford, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; 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.