Individual provider Active NPI

Rebecca Renee Rendon-Lott, PSY.D, LPC, LCPC,NCC

  • Professional Counselor
  • West Lake Hills, TX
National Provider Identifier
1972579407
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
14399 Issued in TX
Practice address
1301 S Capital of Texas Hwy
BLDG C Suite 130
West Lake Hills, TX 78746-6574
Phone
(512) 417-0350
Fax
(630) 672-1425
NPI assigned
Feb 24, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 14399 TX Primary
Professional Counselor 101YP2500X 180-004198 IL

Addresses

Primary practice location

1301 S Capital of Texas Hwy
BLDG C Suite 130
West Lake Hills, TX 78746-6574

Mailing address

PO Box 68368
Schaumburg, IL 60168-0368
Phone (512) 417-0350

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

State licenses

LicenseStateTypeSpecialty
180-004198ILMDProfessional Counselor
14399TXMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1972579407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 68368",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601680368",
            "telephone_number": "512-417-0350",
            "fax_number": "630-672-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 S CAPITAL OF TEXAS HWY",
            "address_2": "BLDG C SUITE 130",
            "city": "WEST LAKE HILLS",
            "state": "TX",
            "postal_code": "787466574",
            "telephone_number": "512-417-0350",
            "fax_number": "630-672-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENDON-LOTT",
        "first_name": "REBECCA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "PSY.D, LPC, LCPC,NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-24",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "14399",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-004198",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Lake Hills, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.