Individual provider Active NPI

Renee Lorin Nelson, DBH LPC

  • Professional Counselor
  • Phoenix, AZ
National Provider Identifier
1659500759
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC-13206 Issued in AZ
Practice address
4539 N 22ND St Ste 4604
Phoenix, AZ 85016-4639
Phone
(520) 636-5505
NPI assigned
Jul 9, 2009
Last updated
Dec 15, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC-MN-147 MN
Professional Counselor 101YP2500X LPC-13206 AZ Primary

Addresses

Primary practice location

4539 N 22ND St Ste 4604
Phoenix, AZ 85016-4639

Mailing address

4539 N 22ND St Ste 4604
Phoenix, AZ 85016-4639
Phone (520) 636-5505

Other identifiers 1

IdentifierTypeStateIssuer
441100MedicaidAZ

Other names 1

  • Lori Renee Bitter Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240118003005 AZ Practitioner - Mental Health Counselor 4981056520 Reassigns benefits to 1 organization
Practice locations: Lake Havasu City, AZ

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Lake Havasu City, AZ 86404
Phone (520) 636-5505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPC-MN-147MNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Beginnings, PLLC Professional CurrentSince Aug 10, 2025 Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Sep 15, 2025 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc Current Accepting new patients
Optum Behavioral Care of Colorado, P.C. CurrentSince Sep 15, 2025 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients
El Rio Santa Cruz Neighborhood Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients
Optum Behavioral Care of Colorado, P.C. Current Accepting new patients
North Country Healthcare, Inc. Past Accepting new patients
North Country Healthcare, Inc. Past Accepting new patients
Ascend Healthcare, PLLC PastSince Mar 1, 2025 Accepting new patients
Mohave Mental Health Clinic Inc Past Accepting new patients
North Country Healthcare, Inc. Past Accepting new patients
Mohave Mental Health Clinic Inc Past Accepting new patients

Locations

2090 Smoketree Ave N
Lk Havasu Cty, AZ 86403
Phone (928) 854-1800

4121 E Valley Auto Dr
Ste 122
Mesa, AZ 85206
Phone (602) 285-9696

4539 N 22nd St
Ste 4604
Phoenix, AZ 85016
Phone (520) 636-5505

410 N Scottsdale Rd
Ste 1500
Tempe, AZ 85288

1230 S Cherrybell Stra
Tucson, AZ 85713
Phone (520) 205-4997

839 W Congress St
Tucson, AZ 85745
Phone (520) 670-3707

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1659500759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4539 N 22ND ST STE 4604",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164639",
            "telephone_number": "520-636-5505",
            "fax_number": "520-462-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4539 N 22ND ST STE 4604",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164639",
            "telephone_number": "520-636-5505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "RENEE",
        "middle_name": "LORIN",
        "name_prefix": "Dr.",
        "credential": "DBH LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "LPC-MN-147",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "LPC-13206",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "441100",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LORI",
            "last_name": "BITTER",
            "middle_name": "RENEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.