Rene Ann Burgoyne, MS, ATRL-BC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

3853-125 Issued in WI

Practice address

12970 W Bluemound Rd
Suite 308
Elm Grove, WI 53122-2607

Phone

(262) 780-1020

Fax

(262) 780-1022

NPI assigned

Sep 29, 2006

Last updated

Sep 18, 2008By 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 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Red Oak Counseling, LTD.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elm Grove, WI
  • NPI 1609890391
  NPD (past)

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1952493470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12970 W BLUEMOUND RD",
            "address_2": "SUITE 308",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222607",
            "telephone_number": "262-780-1020",
            "fax_number": "262-780-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12970 W BLUEMOUND RD",
            "address_2": "SUITE 308",
            "city": "ELM GROVE",
            "state": "WI",
            "postal_code": "531222607",
            "telephone_number": "262-780-1020",
            "fax_number": "262-780-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURGOYNE",
        "first_name": "RENE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MS, ATRL-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "3853-125",
            "primary": true
        },
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": "WI",
            "license": "66-036",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ART THERAPIST",
            "identifier": "66-036",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40967900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Russell Wieston Brethauer, PSYD.
• Bright Day Wellness, LLC
• James Joseph Brinks, HIS
• Everest Cameron Brooks, LCSW
• Karin Lynn Buckholdt, PT
• Marcy Cepulis, LMT
• Alexis Chapman
• Christos Counseling
• Christos Family Ministries (Christos Counseling)
• Christos Ministries Counseling

• Professional Counselor in Elm Grove, WI
• Providers in Elm Grove, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.