Joseph Rengifo, LCMHC, LCAS, CSI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

12895 Issued in NC

Practice address

3825 Market St Ste 4
Wilmington, NC 28403-1426

Phone

(910) 777-5575

Fax

(910) 777-5273

NPI assigned

Mar 8, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 4

Medicare fee-for-service enrollment

Enrolled in NC

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wilmington Mental Health PLLCGroup PAC ID 8325439201, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Wilmington Mental Health, PLLC

  • Multi-Specialty Clinic/Center
  • Wilmington, NC
  • NPI 1396206330

  Addiction (Substance Use Disorder)

  Medicare reassignment Care Compare group NPD Authorized official
• Wilmington Medical Care

  • Psychiatry Physician
  • Wilmington, NC
  • NPI 1407717069

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Wilmington Trauma Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wilmington, NC
  • NPI 1558290759
  NPD Authorized official

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

{
    "created_epoch": "1488931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1952842007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 MARKET ST STE 4",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031426",
            "telephone_number": "910-777-5575",
            "fax_number": "910-777-5273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 MARKET ST STE 4",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284031426",
            "telephone_number": "910-777-5575",
            "fax_number": "910-777-5273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENGIFO",
        "first_name": "JOSEPH",
        "credential": "LCMHC, LCAS, CSI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-08",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "12895",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NC",
            "license": "LCAS-23186",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NC",
            "license": "12895",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "12895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396206330",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@wmhwc.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3825 Market St Ste 6",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284031426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.wmhwc.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Online",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "URL",
            "address_1": "3825 Market St Ste 6",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284031426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.wilmingtonmentalhealth.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "3825 Market St Ste 4",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284031426",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@wmhwc.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "3825 Market St Ste 4",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284031426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gloria L Rendon, LCAS-A
• Romina Rendon
• Renee Williamson LLC
• Martin Renemans, DMD
• Renew Nutrition LLC
• Lindsay Rengifo, RN
• Renovia Behavioral Health LLC
• Jennifer K. Renshaw, OTD,OTRL
• Patrick Joseph Renton, MD
• Heather Renye

• Mental Health Counselor in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.