Active NPI
Owen Riley Renert
- Marriage & Family Therapist
- Ontario, CA
National Provider Identifier
1508503442
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 164384
- Practice address
- 1101 S Milliken Ave Ste E
#1088
Ontario, CA 91761-8112 - Phone
- (909) 480-1646
- NPI assigned
- May 12, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 164384 | CA | Primary |
Addresses
Primary practice location
1101 S Milliken Ave Ste E
#1088
Ontario, CA 91761-8112
Mailing address
1101 S Milliken Ave Ste E
#1088
Ontario, CA 91761-8112
Phone (909) 480-1646
Medicare participation
Medicare enrollment files- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1508503442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 S MILLIKEN AVE STE E",
"address_2": "#1088",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917618112",
"telephone_number": "909-480-1646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 S MILLIKEN AVE STE E",
"address_2": "#1088",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917618112",
"telephone_number": "909-480-1646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENERT",
"first_name": "OWEN",
"middle_name": "RILEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-12",
"last_updated": "2026-07-08",
"certification_date": "2026-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "164384",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.