Renie Elizabeth Marie Rondon-Jackson, LCSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

057800-1 Issued in NY

Practice address

40 Rector St
11TH Floor
New York, NY 10006-1705

Phone

(718) 855-7485

Fax

(718) 855-1316

NPI assigned

Apr 1, 2008

Sex

Female

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

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.

• Institute for Community Living , Inc.

  • Community/Behavioral Health Agency
  • Rosedale, NY
  • NPI 1427105857
  NPD (past) Authorized official
• Guidance Center of Brooklyn, Inc.

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1295868271
  NPD (past)

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207008000000",
    "number": "1730351578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13607 BROOKVILLE BLVD",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114221525",
            "telephone_number": "718-855-7485",
            "fax_number": "718-855-1316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 RECTOR ST",
            "address_2": "11TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100061705",
            "telephone_number": "718-855-7485",
            "fax_number": "718-855-1316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONDON-JACKSON",
        "first_name": "RENIE",
        "middle_name": "ELIZABETH MARIE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "057800-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Sharon Rondez, OTRL
• Katherine Michelle Rondina, NP
• Lance Richmond Rondinelli, PHARM.D.
• Praneetha Rondla
• Carlos Mauricio Rondon Clavo, M.D.
• Alexander Rondon, MD
• Gina Rondon, M.S. CCC-SLP
• Rolston Rondon, RN
• Selma Rondon, L. AC.
• James Guojian Rong, DDS

• Mental Health Counselor in New York, NY
• Providers in New York, NY by specialty
• Mental Health Counselor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.