Individual provider Active NPI

Rene Michelle Bairos, LMFT

  • Marriage & Family Therapist
  • Redding, CA
National Provider Identifier
1407292972
Registry record updated Dec 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
86959 Issued in CA
Practice address
3184 Niklaus Path
Redding, CA 96002-9550
Phone
(530) 638-9346
NPI assigned
May 10, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 86959 CA Primary

Addresses

Primary practice location

3184 Niklaus Path
Redding, CA 96002-9550

Mailing address

3184 Niklaus Path
Redding, CA 96002-9550
Phone (530) 638-9346

Other identifiers 1

IdentifierTypeStateIssuer
44AVOtherCAMEDI-CAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20240806004085 CA Practitioner - Marriage and Family Therapist 5496292526 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consolidated Tribal Health Project, Inc.Group PAC ID 1456260736, 11 clinicians

Practice addresses (Care Compare)

144 Stony Point Rd
Santa Rosa, CA 95401-4122
Phone (707) 521-4545

6991 N State St
Redwood Valley, CA 95470-9629
Phone (707) 467-5620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86959CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Consolidated Tribal Health Project, Inc. CurrentSince Apr 9, 2025 Accepting new patients

Locations

6991 N State St
Redwood Vly, CA 95470
Phone (707) 467-5620

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15156/brand/1/csg/1/fhir/r4

Organizations & group practices 3

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": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703980800000",
    "number": "1407292972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3184 NIKLAUS PATH",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960029550",
            "telephone_number": "530-638-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3184 NIKLAUS PATH",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960029550",
            "telephone_number": "530-638-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIROS",
        "first_name": "RENE",
        "middle_name": "MICHELLE",
        "name_prefix": "Miss",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-10",
        "last_updated": "2023-12-31",
        "certification_date": "2023-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "86959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "44AV",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Redding, CA

Sources for this page

Verify at the official NPI Registry.