Renee C. Gillombardo, LMFT, PA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT1628 Issued in FL

Legal business name

RENEE C. GILLOMBARDO, LMFT, PA

Practice address

735 Arlington Avenuen North
102
St Petersburg, FL 33701

Phone

(727) 385-0209

NPI assigned

May 16, 2014

Organization subpart

No

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

Authorized official

Name

Renee Cecilia Gillombardo, LMFTNPI 1942586177

Title

President

Phone

(727) 385-0208

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Renee C Gillombardo, LMFT

  • Mental Health Counselor
  • St Petersburg, FL
  • NPI 1942586177
  NPD (past) Authorized official

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400198400000",
    "number": "1275944852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "735 ARLINGTON AVENUEN NORTH",
            "address_2": "102",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33701",
            "telephone_number": "727-385-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 ARLINGTON AVENUEN NORTH",
            "address_2": "102",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33701",
            "telephone_number": "727-385-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE C. GILLOMBARDO, LMFT, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-16",
        "status": "A",
        "authorized_official_last_name": "GILLOMBARDO",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "CECILIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-385-0208",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT1628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.