Active NPI
Renee I Anderson, PH.D., LPCC, LPC
- Professional Counselor
- Butler, PA
National Provider Identifier
1942288253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PC003762
- Practice address
- 111 Grandview Blvd
Butler, PA 16001-3261 - Phone
- (724) 290-4765
- NPI assigned
- Jan 6, 2006
- Last updated
- Sep 26, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 | PC003762 | PA | Primary |
| Professional Counselor | 101YP2500X | E0008433 | OH |
Addresses
Primary practice location
111 Grandview Blvd
Butler, PA 16001-3261
Mailing address
111 Grandview Blvd
Butler, PA 16001-3261
Phone (724) 290-4765
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E0008433 | OH | MD | Professional Counselor |
| PC003762 | PA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Counselor | Current | Accepting new patients |
| Turning Point Counseling Services, Inc. | Past | Accepting new patients | |
| Compass Family and Community Services | Past | Accepting new patients | |
| Marvin Behavioral Health Ma PC | Past | Accepting new patients |
Interoperability endpoints
- reneeanderson@tdh.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Counselor
-
- Community/Behavioral Health Agency
- Warren, OH
- NPI 1083054506
-
- Psychologist
- Boston, MA
- NPI 1740860428
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Youngstown, OH
- NPI 1043274426
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136505600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1942288253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 GRANDVIEW BLVD",
"city": "BUTLER",
"state": "PA",
"postal_code": "160013261",
"telephone_number": "724-290-4765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 GRANDVIEW BLVD",
"city": "BUTLER",
"state": "PA",
"postal_code": "160013261",
"telephone_number": "724-290-4765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDERSON",
"first_name": "RENEE",
"middle_name": "I",
"credential": "PH.D., LPCC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-01-06",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "PA",
"license": "PC003762",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "OH",
"license": "E0008433",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Butler, PA
- Amedisys Hospice LLC (Amedisys Hospice Care)
- Amedisys Pennsylvania LLC (Amedisys Home Health)
- Joseph P Ammerman, FNP
- Heather Anderson, PHARMD
- Paul B Anderson, O.D.
- Mary Martha Andiorio, PHD
- Jennifer D Angert, CRNP
- Teresa Lynn Angiolieri
- Anthony C. Bilott P.C (Butler Chiropractic Associates)
- Emma Suzanne Anthony, LMT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.