Individual provider Active NPI

Marlene Rendon, PH.D., LPC-S

  • Professional Counselor
  • San Marcos, TX
National Provider Identifier
1316336159
Registry record updated May 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
63065 Issued in TX
Practice address
315 Turkey Trail Dr
San Marcos, TX 78666-1752
Phone
(832) 217-0558
NPI assigned
Jan 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 63065 TX Primary

Addresses

Primary practice location

315 Turkey Trail Dr
San Marcos, TX 78666-1752

Mailing address

315 Turkey Trail Dr
San Marcos, TX 78666-1752
Phone (832) 217-0558

Other practice location 1

22402 Rangeview Dr
Katy, TX 77450-3341
Phone (832) 217-0558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
63065TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684368000000",
    "number": "1316336159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 TURKEY TRAIL DR",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786661752",
            "telephone_number": "832-217-0558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 TURKEY TRAIL DR",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786661752",
            "telephone_number": "832-217-0558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22402 Rangeview Dr",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774503341",
            "country_code": "US",
            "telephone_number": "832-217-0558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENDON",
        "first_name": "MARLENE",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-16",
        "last_updated": "2023-05-18",
        "certification_date": "2023-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "63065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2023; 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.