Individual provider Active NPI

Marieke Renner, LMHC

  • Mental Health Counselor
  • Vancouver, WA
National Provider Identifier
1457965212
Registry record updated Nov 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH61344864 Issued in WA
Practice address
1498 SE Tech Center PL Ste 180
Vancouver, WA 98683-5518
Phone
(360) 619-2226
NPI assigned
Aug 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61344864 WA Primary

Addresses

Primary practice location

1498 SE Tech Center PL Ste 180
Vancouver, WA 98683-5518

Mailing address

5514 SE Malden St
Portland, OR 97206-9065
Phone (360) 936-9090

Other practice location 1

7700 NE Parkway Dr Ste 200
Vancouver, WA 98662-6653
Phone (360) 953-3199

Other identifiers 1

IdentifierTypeStateIssuer
CG60975106OtherWASTATE LICENSE

Other names 1

  • Marieke Brown Former name

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

LicenseStateTypeSpecialty
LH61344864WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Emdr Therapy LLC Current Accepting new patients
Real Life Community Behavioral Health PLLC Mental Health CurrentSince Dec 8, 2024 Accepting new patients
Real Life Counseling PLLC CurrentSince Nov 17, 2024 Accepting new patients

Locations

1498 SE Tech Center Pl
Ste 180
Vancouver, WA 98683
Phone (360) 200-8670

1498 SE Tech Center Pl
Ste 300
Vancouver, WA 98683
Phone (360) 567-2200

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1457965212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5514 SE MALDEN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972069065",
            "telephone_number": "360-936-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1498 SE TECH CENTER PL STE 180",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986835518",
            "telephone_number": "360-619-2226"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7700 NE Parkway Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986626653",
            "country_code": "US",
            "telephone_number": "360-953-3199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENNER",
        "first_name": "MARIEKE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61344864",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "CG60975106",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIEKE",
            "last_name": "BROWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.