Brianne Renley, LPCC, CAC II

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPCC.0016181 Issued in CO

Practice address

706 S College Ave Ste 201
Fort Collins, CO 80524-9860

Phone

(877) 212-1238

NPI assigned

Feb 3, 2020

Sex

Female

Sole proprietor

No

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Jan 23, 2024 through Jan 23, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bloom Limited

  • Mental Health Counselor
  • Fort Collins, CO
  • NPI 1720682230
  NPD (past)

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

{
    "created_epoch": "1580688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1497386981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 VIRGINIA DALE DR",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805214034",
            "telephone_number": "505-440-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 S COLLEGE AVE STE 201",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805249860",
            "telephone_number": "877-212-1238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENLEY",
        "first_name": "BRIANNE",
        "credential": "LPCC, CAC II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-03",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CO",
            "license": "LPCC.0016181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earl Rendon
• Renee a Woodall PHD Professional LLC
• Hartmut C. Renger, M.D.
• Emaleigh Phelps Renier
• Renley LLC
• Nathan Renley, M.S., CCC-SLP
• Siri Rennie, FNP
• William B Repert
• Katie Repsis
• Katie Resch, BS, CAS

• Mental Health Counselor in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• Mental Health Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.