Individual provider Active NPI

Tinelle Renee Evans Reno, LPCC

  • Professional Counselor
  • North Highlands, CA
National Provider Identifier
1760884209
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
4542 Issued in CA
Practice address
4012 Galbrath Dr
North Highlands, CA 95660-3417
Phone
(916) 514-2818
NPI assigned
Sep 16, 2014
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4542 CA
Professional Counselor 101YP2500X 4542 CA Primary

Addresses

Primary practice location

4012 Galbrath Dr
North Highlands, CA 95660-3417

Mailing address

4012 Galbrath Dr
North Highlands, CA 95660-3417
Phone (916) 514-2818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NY, WI3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240514000763 CA Practitioner - Mental Health Counselor 4486095031 Reassigns benefits to 2 organizations
I20250314003225 NY Practitioner - Mental Health Counselor 4486095031 Reassigns benefits to 1 organization
I20250320001803 WI Practitioner - Mental Health Counselor 4486095031 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cyti Health PCGroup PAC ID 4587012950, 34 clinicians

Practice addresses (Care Compare)

3111 Camino del Rio N
Suite 460
San Diego, CA 92108-5720
Phone (866) 478-3978

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4542CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Mental Health CurrentSince Jan 24, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Feb 19, 2025 Accepting new patients
Cyti Health PC CurrentSince Mar 31, 2024 Accepting new patients

Locations

11801 Pierce St
Riverside, CA 92505
Phone (909) 528-0317

3111 Camino del Rio N
Ste 460
San Diego, CA 92108

402 W Broadway
Ste 400
San Diego, CA 92101
Phone (619) 810-1939

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

165 Broadway
Fl 23
New York, NY 10006
Phone (202) 972-4964

4321 W College Ave
Ste 200
Appleton, WI 54914
Phone (920) 519-2920

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1410825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1760884209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 GALBRATH DR",
            "city": "NORTH HIGHLANDS",
            "state": "CA",
            "postal_code": "956603417",
            "telephone_number": "916-514-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 GALBRATH DR",
            "city": "NORTH HIGHLANDS",
            "state": "CA",
            "postal_code": "956603417",
            "telephone_number": "916-514-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS RENO",
        "first_name": "TINELLE",
        "middle_name": "RENEE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-16",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "4542",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "4542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Highlands, CA

Sources for this page

Verify at the official NPI Registry.