Anthony M Renello Jr., MS LISAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LIAC15189 Issued in AZ

Practice address

13951 W Meeker Blvd
Sun City West, AZ 85375-4424

Phone

(480) 606-8602

NPI assigned

May 31, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• Second Light Recovery LLC

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  NPD
• Virtue at the Pointe Recovery Center LLC

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  • NPI 1134842644
  NPD
• Virtue at the Pointe Recovery Center LLC

  • Substance Abuse Rehabilitation Facility
  • Astoria, OR
  • NPI 1699371476
  NPD

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1780176271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 E MCDOWELL RD UNIT 60",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852071431",
            "telephone_number": "480-606-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13951 W MEEKER BLVD",
            "city": "SUN CITY WEST",
            "state": "AZ",
            "postal_code": "853754424",
            "telephone_number": "480-606-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENELLO",
        "first_name": "ANTHONY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MS LISAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-31",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LIAC15189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084266",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Reed Chiropractic Center, Inc.
• Tom F Reese, DDS
• Ana Rebeca Paco de Matos Rego
• Benjamin George Remchek, R.N., B.S.N.
• Renal Dimensions, LLC
• Resurgen PLLC
• Claire S Riley
• Thomas C Riley, OT
• Lucas Timothy Roach
• Tyrell Roberson

• Addiction (Substance Use Disorder) Counselor in Sun City West, AZ
• Providers in Sun City West, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.