Renacer Behavioral Mental Health Clinic

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

RENACER BEHAVIORAL MENTAL HEALTH CLINIC

Practice address

205 Commander CV
Stafford, VA 22554-2401

Phone

(571) 516-0132

NPI assigned

Mar 13, 2026

Organization subpart

No

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

Authorized official

Name

Lisandro NMN Fabian Fernandez, LPC

Title

Therapist

Phone

(571) 516-0132

Specialties & licenses 1

Addresses

Tax ID family

Renacer Behavioral Mental Health Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Renacer Behavioral Mental Health Clinic

  • Mental Health Counselor
  • Stafford, VA
  • NPI 1154289551
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lisandro Fabian, M.D.

  • Mental Health Counselor
  • Stafford, VA
  • NPI 1710425517
  NPD

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

{
    "created_epoch": "1773360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1689521189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 COMMANDER CV",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225542401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 COMMANDER CV",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225542401",
            "telephone_number": "571-516-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENACER BEHAVIORAL MENTAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-13",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "FABIAN FERNANDEZ",
        "authorized_official_first_name": "LISANDRO",
        "authorized_official_middle_name": "NMN",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "571-516-0132",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Diane Reiche, MSP, CCC-SLP
• Yolanda G Reid, MD
• Lauren Nicole Reiff, RBT
• William Reisenfeld, DPT
• Renacer Behavioral Mental Health Clinic
• Renaissance Healthcare Group Virginia, LLC
• Restore Lyfe LLC
• Jeremy Alexander Reuse, MSW
• Angelique Dejuan Reynolds-King
• Claire Reynolds, PT, DPT

• Mental Health Counselor in Stafford, VA
• Providers in Stafford, 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 Mar 13, 2026; 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.