Shaun Nicole Renato, PCC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

E0602174 Issued in OH

Practice address

28 Erie St
Niles, OH 44446-2318

Phone

(330) 652-1470

NPI assigned

Sep 28, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285632000000",
    "number": "1437468279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 ERIE ST",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444462318",
            "telephone_number": "330-652-1470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 ERIE ST",
            "city": "NILES",
            "state": "OH",
            "postal_code": "444462318",
            "telephone_number": "330-652-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENATO",
        "first_name": "SHAUN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "PCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "E0602174",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E0602174",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Christine Reed, SLP
• Amanda Reeveley
• Erika Reeves
• Samantha Reeves
• Rem Ohio Inc
• Brooke Resse
• Michele L Reynolds
• Emily Rhoades
• Angela Toni Ricciulli, D.C.
• Lydia Rice

• Addiction (Substance Use Disorder) Counselor in Niles, OH
• Providers in Niles, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.