Richard Anton Renquest Jr., MA, LPC, NCC, ALPS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1296 Issued in WV

Practice address

253 N Main St
Morgantown, WV 26505-3152

Phone

(304) 276-9612

NPI assigned

May 24, 2021

Last updated

May 24, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in WV

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 1

Specialty

Mental Health Counselor

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mountaineer Psychological ServicesGroup PAC ID 5799074191, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Mountaineer Psychological Services, PLLC

  • Clinical Psychologist
  • Morgantown, WV
  • NPI 1306242540

  Mental Health

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1621814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1801461686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "253 N MAIN ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053152",
            "telephone_number": "304-276-9612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "253 N MAIN ST",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053152",
            "telephone_number": "304-276-9612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENQUEST",
        "first_name": "RICHARD",
        "middle_name": "ANTON",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MA, LPC, NCC, ALPS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-24",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "1296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renaissance Care Inc
• Amanda Joy Cox Renfrow, MD, PHD
• Madeline Dee Renner, FNP
• William Roger Renner, RPH, MBA
• Renner's Pharmacy
• Shaniela Reseter
• Holly Ressetar
• Restore Addiction Recovery and Wellness LLC
• Joseph C Rettig, M.D.
• Dana Leann Reynolds

• Mental Health Counselor in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Mental Health Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.

Verify at the official NPI Registry.