Active NPI
Adrienne Sutherland Renwick, LCPC, LCADC
- Mental Health Counselor
- Reno, NV
National Provider Identifier
1689007486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- CI0054
- Practice address
- 730 S Center St
Reno, NV 89501-2304 - Phone
- (775) 302-9973
- NPI assigned
- Aug 15, 2013
- Reactivated
- Apr 29, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 00279-LC | NV | |
| Mental Health Counselor | 101YM0800X | CI0054 | NV | Primary |
Addresses
Primary practice location
730 S Center St
Reno, NV 89501-2304
Mailing address
3881 N Westpoint Dr
Reno, NV 89509-6875
Phone (775) 762-6795
Other practice location 1
720 S. Main St.
Suite C
Yerington, NV 89447
Phone (775) 463-6597
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | renocounselingcollective.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00279-LC | NV | MD | Counselor |
| CI0054 | NV | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588809600000",
"number": "1689007486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3881 N WESTPOINT DR",
"city": "RENO",
"state": "NV",
"postal_code": "895096875",
"telephone_number": "775-762-6795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 S CENTER ST",
"city": "RENO",
"state": "NV",
"postal_code": "895012304",
"telephone_number": "775-302-9973"
}
],
"practiceLocations": [
{
"address_1": "720 S. MAIN ST.",
"address_2": "SUITE C",
"address_purpose": "LOCATION",
"city": "YERINGTON",
"state": "NV",
"postal_code": "89447",
"country_code": "US",
"telephone_number": "775-463-6597",
"fax_number": "775-463-6598",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RENWICK",
"first_name": "ADRIENNE",
"middle_name": "SUTHERLAND",
"credential": "LCPC, LCADC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-15",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"deactivation_date": "2020-02-10",
"reactivation_date": "2020-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "NV",
"license": "00279-LC",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NV",
"license": "CI0054",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "renocounselingcollective.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "website",
"address_1": "730 S Center St",
"city": "Reno",
"state": "NV",
"country_code": "US",
"postal_code": "895012304",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.