Renee Juliette Lanka, MS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1603 Issued in MN

Practice address

320 3Rd St NW
Faribault, MN 55021-5195

Phone

(597) 332-6115

Fax

(507) 332-6247

NPI assigned

Jul 24, 2007

Last updated

Oct 31, 2011By 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 1

Addresses

Other names 1

• Renee Juliette Bragonier Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1265632400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 3RD ST. NW",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215195",
            "telephone_number": "597-332-6115",
            "fax_number": "507-332-6247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 3RD ST NW",
            "city": "FARIBAULT",
            "state": "MN",
            "postal_code": "550215195",
            "telephone_number": "597-332-6115",
            "fax_number": "507-332-6247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANKA",
        "first_name": "RENEE",
        "middle_name": "JULIETTE",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-24",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "1603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "BRAGONIER",
            "middle_name": "JULIETTE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Marriage & Family Therapist in Faribault, MN
• Providers in Faribault, MN by specialty
• Marriage & Family Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.