Individual provider Active NPI

Renee Rios, LCSW

  • Mental Health Counselor
  • Culver City, CA
National Provider Identifier
1548782071
Registry record updated Jul 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
400 Corporate Pointe Ste 300
Culver City, CA 90230-7620
Phone
(619) 602-3495
NPI assigned
Jul 17, 2017
Last updated
Jul 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2024

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 NU Primary
Clinical Social Worker 1041C0700X 117640 CA

Addresses

Primary practice location

400 Corporate Pointe Ste 300
Culver City, CA 90230-7620

Mailing address

PO Box 341522
Los Angeles, CA 90034-9522
Phone (619) 602-3495

Other practice location 1

24050 Madison St Ste 216
Torrance, CA 90505-6017
Phone (424) 274-7014

Other practice location 2

PO Box 341522
Los Angeles, CA 90034-9522
Phone (619) 602-3495

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
117640CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Camerata Health & Wellness, Licensed Clinical Social Worker Corp Clinical CurrentSince Jul 28, 2024 Accepting new patients

Locations

1849 Sawtelle Blvd
Ste 610
Los Angeles, CA 90025
Phone (310) 919-4853

400 Corporate Pointe
Ste 300
Los Angeles, CA 90230
Phone (213) 380-1399

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721174400000",
    "number": "1548782071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 341522",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900349522",
            "telephone_number": "619-602-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CORPORATE POINTE STE 300",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902307620",
            "telephone_number": "619-602-3495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24050 Madison St Ste 216",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905056017",
            "country_code": "US",
            "telephone_number": "424-274-7014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PO Box 341522",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900349522",
            "country_code": "US",
            "telephone_number": "619-602-3495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIOS",
        "first_name": "RENEE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2024-07-17",
        "certification_date": "2024-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "117640",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; 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.