Renee Pruente, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

178014375 Issued in IL

Practice address

6411 N Ravenswood
Suite 105
Chicago, IL 60625

Phone

(773) 418-0488

NPI assigned

Jun 13, 2022

Last updated

Jun 13, 2022By the provider in NPPES

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": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655078400000",
    "number": "1720718851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6811 N OLMSTED AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606311380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6411 N RAVENSWOOD",
            "address_2": "SUITE 105",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60625",
            "telephone_number": "773-418-0488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRUENTE",
        "first_name": "RENEE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2022-06-13",
        "certification_date": "2022-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "178014375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madilynn Prude
• Prudence L. Gourguechon, M.D. S.C.
• Tomas Mauricio Prudencio
• Prudent Alliance for Healthcare, LLC
• Jenny Prudhomme
• Taylor Pruett, LCSW
• Gladys Pruitt-Lang
• Coretta J Pruitt
• Jamesa Pruitt
• Mignon Pruitt

• Mental Health Counselor in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.