Renee Muriel Vandenbergh, L.M.F.T

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

LF00002591 Issued in WA

Practice address

5801 Soundview Dr
Suite 255
Gig Harbor, WA 98335-2095

Phone

(253) 851-6199

NPI assigned

Jun 6, 2007

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598968794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 249",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983660249",
            "telephone_number": "360-265-3699",
            "fax_number": "360-871-6219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5801 SOUNDVIEW DR",
            "address_2": "SUITE 255",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983352095",
            "telephone_number": "253-851-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDENBERGH",
        "first_name": "RENEE",
        "middle_name": "MURIEL",
        "name_prefix": "Mrs.",
        "credential": "L.M.F.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "WA",
            "license": "LF00002591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Anthony Valdez, LMFT-A
• Kristina Valdivia
• Maria Valentino, RD, CD
• Valerie Sutherland, MD, PLLC
• Jane Marian Valley, R.D.
• Bryan Vandragt, PH.D.
• Bruce Paul Varadi, LMP
• Ruthanne Vargas, OTR/L
• Brittany Vaughn, DPT
• Charles J Vaughn, ATC

• Marriage & Family Therapist in Gig Harbor, WA
• Providers in Gig Harbor, WA by specialty
• Marriage & Family Therapist in Washington

• 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.

Verify at the official NPI Registry.