Individual provider Active NPI

Renee Joann Sanguinetti, MA LMFT

  • Marriage & Family Therapist
  • West Linn, OR
National Provider Identifier
1508902214
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
T2316 Issued in OR
Practice address
2311 Falcon Dr
West Linn, OR 97068-4189
Phone
(408) 375-9027
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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 43643 LMFT CA
Marriage & Family Therapist 106H00000X T2316 OR Primary

Addresses

Primary practice location

2311 Falcon Dr
West Linn, OR 97068-4189

Mailing address

3 Monroe Pkwy Ste P
Lake Oswego, OR 97035-8899
Phone (696) 232-3725

Other practice location 1

1769 Park Ave
Suite 210A
San Jose, CA 95126-2029
Phone (408) 375-6301

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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 5, 2026 through Jan 5, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
43643 LMFTCAMDMarriage & Family Therapist
T2316ORMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1508902214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MONROE PKWY STE P",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970358899",
            "telephone_number": "696-232-3725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 FALCON DR",
            "city": "WEST LINN",
            "state": "OR",
            "postal_code": "970684189",
            "telephone_number": "408-375-9027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1769 Park Ave",
            "address_2": "Suite 210A",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951262029",
            "country_code": "US",
            "telephone_number": "408-375-6301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANGUINETTI",
        "first_name": "RENEE",
        "middle_name": "JOANN",
        "name_prefix": "Mrs.",
        "credential": "MA LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "43643 LMFT",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "OR",
            "license": "T2316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Linn, OR

Sources for this page

Verify at the official NPI Registry.