Active NPI
Larry F Renetzky I, LPC LMFT ACSW
- Counselor
- Amarillo, TX
National Provider Identifier
1497764724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC9306
- Practice address
- 6141 W Amarillo Blvd
Amarillo, TX 79106-1901 - Phone
- (806) 352-1974
- Fax
- (806) 358-4296
- NPI assigned
- Aug 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC9306 | TX | Primary |
Addresses
Primary practice location
6141 W Amarillo Blvd
Amarillo, TX 79106-1901
Mailing address
7801 Cervin Dr
Amarillo, TX 79121-1205
Phone (806) 352-1974
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPC9306 | TX | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497764724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7801 CERVIN DR",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791211205",
"telephone_number": "806-352-1974",
"fax_number": "806-358-4296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6141 W AMARILLO BLVD",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791061901",
"telephone_number": "806-352-1974",
"fax_number": "806-358-4296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENETZKY",
"first_name": "LARRY",
"middle_name": "F",
"name_prefix": "Mr.",
"name_suffix": "I",
"credential": "LPC LMFT ACSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "LPC9306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.