Active NPI
Camryn Conrad-Renteria, LCPC
- Professional Counselor
- Vale, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- C3940
- Practice address
- 789 Washington St W
Vale, OR 97918-1147 - Phone
- (541) 473-2101
- Fax
- (541) 473-2668
- NPI assigned
- Jul 25, 2011
- Last updated
- Jan 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | C3940 | OR | Primary |
| Professional Counselor | 101YP2500X | LCPC-5843 | ID |
Addresses
Primary practice location
789 Washington St W
Vale, OR 97918-1147
Mailing address
1441 NE 10TH Ave
Payette, ID 83661-5420
Phone (208) 642-9376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1441 NE 10TH Ave
Payette, ID 83661-5420
Phone (208) 642-9376
17 S 3Rd St
Nyssa, OR 97913-3815
Phone (541) 372-5738
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCPC-5843 | ID | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Family Health Care, Inc | Current | Accepting new patients | |
| Valley Family Health Care Inc | Current | Accepting new patients | |
| Valley Family Health Care, Inc | Current | Accepting new patients | |
| Valley Family Health Care, Inc | Past | Accepting new patients | |
| Valley Family Health Care, Inc | Past | Accepting new patients |
Locations
207 E 12th St
Emmett, ID 83617
Phone (208) 365-1065
1441 NE 10th Ave
Payette, ID 83661
Phone (208) 642-9376
17 S 3rd St
Nyssa, OR 97913
Phone (541) 372-5738
2327 SW 4th Ave
Unit 3
Ontario, OR 97914
Phone (541) 889-2340
896 Fortner St
Ontario, OR 97914
Phone (541) 709-2038
789 Washington St W
Vale, OR 97918
Phone (503) 473-2101
Organizations & group practices 5
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.
-
dba Valley Family Health Care Women and Children Clinic
- Federally Qualified Health Center (FQHC)
- Ontario, OR
- NPI 1295415032
-
- Federally Qualified Health Center (FQHC)
- Payette, ID
- NPI 1407886484
-
- Federally Qualified Health Center (FQHC)
- Emmett, ID
- NPI 1932139995
-
- Federally Qualified Health Center (FQHC)
- Nyssa, OR
- NPI 1083641310
-
- Federally Qualified Health Center (FQHC)
- Ontario, OR
- NPI 1992732291
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1801174875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 NE 10TH AVE",
"city": "PAYETTE",
"state": "ID",
"postal_code": "836615420",
"telephone_number": "208-642-9376",
"fax_number": "208-642-9598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "789 WASHINGTON ST W",
"city": "VALE",
"state": "OR",
"postal_code": "979181147",
"telephone_number": "541-473-2101",
"fax_number": "541-473-2668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONRAD-RENTERIA",
"first_name": "CAMRYN",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-25",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OR",
"license": "C3940",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ID",
"license": "LCPC-5843",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vale, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.