Renee Marie Azevedo, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

51072 Issued in CA

Practice address

3732 Mt Diablo Blvd
Suite 395
Lafayette, CA 94549-3632

Phone

(916) 335-8105

Fax

(800) 450-5024

NPI assigned

Aug 14, 2007

Last updated

Aug 28, 2013By the provider in NPPES

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

Other identifiers 2

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": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377648000000",
    "number": "1801088737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 162953",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958162953",
            "telephone_number": "916-335-8105",
            "fax_number": "800-450-5024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3732 MT DIABLO BLVD",
            "address_2": "SUITE 395",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493632",
            "telephone_number": "916-335-8105",
            "fax_number": "800-450-5024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZEVEDO",
        "first_name": "RENEE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-14",
        "last_updated": "2013-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "51072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL PROVIDER #",
            "identifier": "000008462",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES, LMFT",
            "identifier": "MFC 51072",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrea Elaine Ashby, M.D.
• Ridha H Atif
• Marguerite Elise Rowe Audley
• Jami Lyann Auer
• Aware LLC
• Amy E. Baba, DPM
• Micaela Bacon
• Richard William Baker, O.D.
• Georgia B Banks, CMT
• John A. Barakos Jr., MA, MFT

• Marriage & Family Therapist in Lafayette, CA
• Providers in Lafayette, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2013; 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.