Wayne Kenneth Riendeau, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178.011980 Issued in IL

Practice address

3 Cortland Cir
Lake Zurich, IL 60047-2334

Phone

(847) 744-0111

NPI assigned

Nov 20, 2017

Sex

Male

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

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Arbor Counseling Center,LTD

  • Clinical Social Worker
  • Buffalo Grove, IL
  • NPI 1164479945
  Medicare reassignment NPD

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1154835627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 CORTLAND CIR",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472334",
            "telephone_number": "847-744-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 CORTLAND CIR",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472334",
            "telephone_number": "847-744-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIENDEAU",
        "first_name": "WAYNE",
        "middle_name": "KENNETH",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-20",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178.011980",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revive Treatment Center - Lake Zurich LLC
• Revive Treatment Center - Lake Zurich LLC
• Revive Treatment Center - Lake Zurich LLC
• Toni Stapley Rey, LCSW
• Anel Ribo, PHARM D
• Laura Ann Rierson, MOT, OTR/L
• Dexaiya Lacole Riley
• Mary K. Rinder
• Lisa Riss-Carrasquilla, RPH
• Maria Ritchey, LCPC

• Mental Health Counselor in Lake Zurich, IL
• Providers in Lake Zurich, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.