Active NPI
Renee Bynum
- Marriage & Family Therapist
- Gilroy, CA
National Provider Identifier
1457773087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT102854
- Practice address
- 7191 Rosanna St
Gilroy, CA 95020-6437 - Phone
- (510) 947-8043
- NPI assigned
- Jan 16, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | RI-B1310251216 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT102854 | CA | Primary |
Addresses
Primary practice location
7191 Rosanna St
Gilroy, CA 95020-6437
Mailing address
7191 Rosanna St Unit a
Gilroy, CA 95020-6437
Phone (510) 947-8041
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
| License | State | Type | Specialty |
|---|---|---|---|
| RI-B1310251216 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| LMFT102854 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780444800000",
"number": "1457773087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7191 ROSANNA ST UNIT A",
"city": "GILROY",
"state": "CA",
"postal_code": "950206437",
"telephone_number": "510-947-8041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7191 ROSANNA ST",
"city": "GILROY",
"state": "CA",
"postal_code": "950206437",
"telephone_number": "510-947-8043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYNUM",
"first_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-16",
"last_updated": "2026-06-03",
"certification_date": "2026-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "RI-B1310251216",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT102854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gilroy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.