Individual provider Active NPI

Susanne Reno, LMFT

  • Marriage & Family Therapist
  • San Marcos, CA
National Provider Identifier
1821449612
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
101563 Issued in CA
Practice address
334 Via Vera Cruz Ste 259
San Marcos, CA 92078-2643
Phone
(858) 945-4615
NPI assigned
Jun 23, 2016
Last updated
Oct 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 101563 CA Primary

Addresses

Primary practice location

334 Via Vera Cruz Ste 259
San Marcos, CA 92078-2643

Mailing address

519 Avenida Ortega
San Marcos, CA 92078-7976
Phone (858) 945-4615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20240213004565 CA Practitioner - Marriage and Family Therapist 4385088798 Practice locations: San Marcos, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

334 Via Vera Cruz
Suite 259
San Marcos, CA 92078-2643
Phone (858) 945-4615

519 Avenida Ortega
San Marcos, CA 92078-7976

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
101563CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Megan B. Lewis, Psy.D., a California Psychology Corporation PastSince Oct 29, 2023 Accepting new patients

Organizations & group practices 1

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": "1466640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1821449612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "519 AVENIDA ORTEGA",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920787976",
            "telephone_number": "858-945-4615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 VIA VERA CRUZ STE 259",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782643",
            "telephone_number": "858-945-4615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENO",
        "first_name": "SUSANNE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-23",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "101563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

Verify at the official NPI Registry.