Renelle Brubaker Counseling LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

RENELLE BRUBAKER COUNSELING LLC

Practice address

320 11TH Ave S Ste 204
Nampa, ID 83651-5074

Phone

(208) 515-7661

Fax

(208) 908-6164

NPI assigned

Nov 17, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Renelle Lashae Brubaker, LPCNPI 1750982971

Title

Owner

Phone

(775) 388-7311

Specialties & licenses 1

Addresses

Practitioners 1

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

• Renelle Lashae Brubaker, LPC

  • Mental Health Counselor
  • Nampa, ID
  • NPI 1750982971
  NPD Authorized official

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

{
    "created_epoch": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605571200000",
    "number": "1417550070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 S LINDER RD UNIT E202",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836427396",
            "telephone_number": "775-388-7311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 11TH AVE S STE 204",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836515074",
            "telephone_number": "208-515-7661",
            "fax_number": "208-908-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENELLE BRUBAKER COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2020-11-17",
        "certification_date": "2020-11-17",
        "status": "A",
        "authorized_official_last_name": "BRUBAKER",
        "authorized_official_first_name": "RENELLE",
        "authorized_official_middle_name": "LASHAE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-388-7311",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosie Delgadillo Reilley, LCPC
• Jeffrey L Reimers, PA
• Brandyn Reinhart
• Charli Madeline Reinhart, LCSW
• Laura Thalia Reis, D.O.
• Renewed Life Center, LLC
• Andrea Renteria, RN
• Tammy Lynn Reppert
• Res-Care Washington, Inc.
• Rescare Washington Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Nampa, ID
• Providers in Nampa, ID by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2020; 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.