Melissa Ellen Renner, LPC, CSOTP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

13000 Harbor Center Dr Ste 302
Woodbridge, VA 22192-2847

Phone

(703) 492-2994

Fax

(703) 490-5505

NPI assigned

Nov 8, 2010

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1289174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548720000000",
    "number": "1598066540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 HARBOR CENTER DR STE 302",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922847",
            "telephone_number": "703-492-2994",
            "fax_number": "703-490-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 HARBOR CENTER DR STE 302",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221922847",
            "telephone_number": "703-492-2994",
            "fax_number": "703-490-5505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28 Ashby St Ste E",
            "address_purpose": "LOCATION",
            "city": "Warrenton",
            "state": "VA",
            "postal_code": "201863246",
            "country_code": "US",
            "telephone_number": "540-216-3641",
            "fax_number": "540-216-3656",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENNER",
        "first_name": "MELISSA",
        "middle_name": "ELLEN",
        "name_prefix": "Mrs.",
        "credential": "LPC, CSOTP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-08",
        "last_updated": "2019-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Renal Carepartners of Woodbridge LLC
• Renee Burdett, MD PC
• Renewing Hearts Family Counseling, LLC
• Natalie Rose Renfrow
• Resiliensea Health Solutions, PLLC
• Resolution Group Inc
• Resource Anesthesiology Associates of VA, LLC
• Rest Assured Healthcare Services LLC
• Restorative Balance Counseling and Consulting, LLC

• Mental Health Counselor in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Mental Health Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2019; 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.