Individual provider Active NPI

Renate Jayne Starroff, LMHC

  • Mental Health Counselor
  • Centralia, WA
National Provider Identifier
1396928677
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH00010862 Issued in WA
Practice address
1018 Mellen St
Centralia, WA 98531-1172
Phone
(360) 736-1930
Fax
(360) 736-7782
NPI assigned
Dec 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH00010862 WA Primary

Addresses

Primary practice location

1018 Mellen St
Centralia, WA 98531-1172

Mailing address

PO Box 569
Centralia, WA 98531-0569
Phone (360) 736-1930

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

State licenses

LicenseStateTypeSpecialty
LH00010862WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renjef Enterprises Inc. Mental Health Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197244800000",
    "number": "1396928677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 569",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985310569",
            "telephone_number": "360-736-1930",
            "fax_number": "360-736-7782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 MELLEN ST",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985311172",
            "telephone_number": "360-736-1930",
            "fax_number": "360-736-7782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARROFF",
        "first_name": "RENATE",
        "middle_name": "JAYNE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-10",
        "last_updated": "2007-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00010862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centralia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.