Lisa R. Renda, MA, LMFT

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

RC00012185 Issued in WA

Practice address

1664 S Dixie Dr Ste E102
Saint George, UT 84770-7329

Phone

(253) 304-4187

NPI assigned

Aug 31, 2010

Last updated

Sep 1, 2021By 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 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1417264268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 E ZION TRL N",
            "city": "TOQUERVILLE",
            "state": "UT",
            "postal_code": "847745121",
            "telephone_number": "253-304-4187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1664 S DIXIE DR STE E102",
            "city": "SAINT GEORGE",
            "state": "UT",
            "postal_code": "847707329",
            "telephone_number": "253-304-4187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDA",
        "first_name": "LISA",
        "middle_name": "R.",
        "name_prefix": "Ms.",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "11127012-3902",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "RC00012185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@sequoiaintegrative.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "1664 S Dixie Dr Ste E102",
            "city": "Saint George",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847707329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Professional Counselor in St George, UT
• Providers in St George, UT by specialty
• Professional Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.