Individual provider Active NPI

Renee Alicia Rugile, LMFT

  • Marriage & Family Therapist
  • Honolulu, HI
National Provider Identifier
1467710574
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
551 Issued in HI
Practice address
200 N Vineyard Blvd # A15124
Honolulu, HI 96817-3950
Phone
(808) 909-2115
NPI assigned
Apr 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2214 TN
Marriage & Family Therapist 106H00000X 551 HI Primary

Addresses

Primary practice location

200 N Vineyard Blvd # A15124
Honolulu, HI 96817-3950

Mailing address

200 N Vineyard Blvd # A15124
Honolulu, HI 96817-3950
Phone (808) 909-2115

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
551HIMDAcupuncturist
2214TNMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Inner Sanctuary Counseling LLC CurrentSince Nov 1, 2021 Accepting new patients

Locations

1110 Nuuanu Ave
#A15124
Honolulu, HI 96817

Organizations & group practices 1

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": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1467710574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 N VINEYARD BLVD # A15124",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173950",
            "telephone_number": "808-909-2115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N VINEYARD BLVD # A15124",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968173950",
            "telephone_number": "808-909-2115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUGILE",
        "first_name": "RENEE",
        "middle_name": "ALICIA",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "2214",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "HI",
            "license": "551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.