Individual provider Active NPI

Renae D. Swanson, PH.D., LPC, NCC

  • Professional Counselor
  • Oshkosh, WI
National Provider Identifier
1619208253
Registry record updated Jun 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4226125 Issued in WI
Practice address
404 N Main St Ste 612
Oshkosh, WI 54901
Phone
(920) 385-6009
Fax
(866) 327-3295
NPI assigned
Jan 21, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 4226125 WI Primary

Addresses

Primary practice location

404 N Main St Ste 612
Oshkosh, WI 54901

Mailing address

404 N Main St
Oshkosh, WI 54901-4957
Phone (920) 385-6009

Other practice location 1

1047 N Lynndale Dr Ste 2B
Appleton, WI 54914-3059
Phone (920) 385-1420

Other practice location 2

225 S Main St Ste 3
Seymour, WI 54165-1439
Phone (920) 385-1420

Other names 1

  • Renae D. Reljic Former name

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
4226125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Counseling, LLC PastSince Nov 1, 2019 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530230400000",
    "number": "1619208253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 N MAIN ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549014957",
            "telephone_number": "920-385-6009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 N MAIN ST STE 612",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "54901",
            "telephone_number": "920-385-6009",
            "fax_number": "866-327-3295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1047 N Lynndale Dr Ste 2B",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549143059",
            "country_code": "US",
            "telephone_number": "920-385-1420",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 S Main St Ste 3",
            "address_purpose": "LOCATION",
            "city": "Seymour",
            "state": "WI",
            "postal_code": "541651439",
            "country_code": "US",
            "telephone_number": "920-385-1420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SWANSON",
        "first_name": "RENAE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PH.D., LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-21",
        "last_updated": "2018-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "4226125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENAE",
            "last_name": "RELJIC",
            "middle_name": "D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oshkosh, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2018; 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.