Lisa M Reo, LCPC, PMH

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC8497 Issued in MD

Practice address

1052 River Wind Circle
Bradenton, FL 34212

Phone

(443) 521-3685

NPI assigned

Mar 4, 2019

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MD

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

Specialty

Mental Health Counselor

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Arundel Mental Health Professionals LCGroup PAC ID 4981688173, 118 clinicians

Practice addresses (Care Compare)

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.

• Arundel Mental Health Professionals L.C.

  • Clinical Psychologist
  • Arnold, MD
  • NPI 1073649521
  Medicare reassignment Care Compare group NPD
• Circle of Friends Services Inc

  • Community/Behavioral Health Agency
  • Deltona, FL
  • NPI 1467691873
  NPD (past)
• Florida United Methodist Childrens Home, Inc.

  • Community/Behavioral Health Agency
  • Deltona, FL
  • NPI 1245863331
  NPD (past)

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722211200000",
    "number": "1255899852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 DELTONA BLVD STE A",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "327258016",
            "telephone_number": "386-259-5413",
            "fax_number": "386-753-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1052 RIVER WIND CIRCLE",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "34212",
            "telephone_number": "443-521-3685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REO",
        "first_name": "LISA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LCPC, PMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-04",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "1622",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC8497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MENTAL HEALTH",
            "identifier": "000",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467691873",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lina Marcela Rengifo Bedoya, MD
• Rodolfo E Reni, M.D.
• Noelle Rennie
• Kay Helen Renshaw, RD, LD/N
• Yaqueline Renteria
• Cori Repp, M.D.
• Request Physical Therapy Inc
• Resident Care Prime Consultants, LLC
• Resolution Focused Counseling LLC
• Yohana Andrea Resto, M.S.

• Professional Counselor in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.