Individual provider Active NPI

Renodda L Stevenson, NCC, LPC

  • Mental Health Counselor
  • Houston, TX
National Provider Identifier
1467827345
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
80093 Issued in TX
Practice address
2600 S Loop W Ste 640
Houston, TX 77054
Phone
(281) 412-0813
NPI assigned
Dec 3, 2015
Last updated
Aug 1, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 80093 TX Primary
Mental Health Counselor 101YM0800X 0701006410 VA

Addresses

Primary practice location

2600 S Loop W Ste 640
Houston, TX 77054

Mailing address

7720 Oconnor Dr Apt 3201
Round Rock, TX 78681-5581
Phone (804) 874-0129

Other practice location 1

5511 Staples Rd Ste. 102
Richmond, VA 23228-3133
Phone (804) 440-3700

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
80093TXMDMental Health Counselor
0701006410VAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533081600000",
    "number": "1467827345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7720 OCONNOR DR APT 3201",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786815581",
            "telephone_number": "804-874-0129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 S LOOP W STE 640",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77054",
            "telephone_number": "281-412-0813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5511 Staples Rd Ste. 102",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232283133",
            "country_code": "US",
            "telephone_number": "804-440-3700",
            "fax_number": "804-612-4414",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "RENODDA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "NCC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-03",
        "last_updated": "2018-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "80093",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701006410",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; 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.