Rene John Molenkamp, LPCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPCC8787 Issued in CA

Practice address

4323 Santa Monica Ave
San Diego, CA 92107-2930

Phone

(619) 519-0463

NPI assigned

Nov 22, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1606003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606003200000",
    "number": "1457955387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4323 SANTA MONICA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921072930",
            "telephone_number": "619-519-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4323 SANTA MONICA AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921072930",
            "telephone_number": "619-519-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLENKAMP",
        "first_name": "RENE",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-22",
        "last_updated": "2020-11-22",
        "certification_date": "2020-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC8787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C. Craig Moldenhauer, M.D.
• Matthew Moldenhauer
• Molecular Imaging Corporation
• Molecular Imaging Sorrento Valley, LLC
• John Paul Molenaar, MA, F-AAA
• Darcy Denise Molett
• Sophia Karan Molina Martinez
• Molina Physical Therapy Inc
• Halley Marie Molina-Yepsen
• Adriana Molina, PH.D

• Professional Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.