Renee Denise Hissam, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC006337 Issued in GA

Practice address

515 E 63Rd St
Savannah, GA 31405-4300

Phone

(912) 355-5938

Fax

(912) 355-5954

NPI assigned

Oct 26, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1351209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351209600000",
    "number": "1982957056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 QUARTZ WAY",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314199844",
            "telephone_number": "912-355-5938",
            "fax_number": "912-355-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E 63RD ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054300",
            "telephone_number": "912-355-5938",
            "fax_number": "912-355-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HISSAM",
        "first_name": "RENEE",
        "middle_name": "DENISE",
        "name_prefix": "Ms.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-26",
        "last_updated": "2012-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaylin Hinton, BCBA
• Lily Uenhyae Hipp, MD
• Nikhil Hirani
• Laura Wilkerson Hiser, LPN
• Laura Hawkins Hissam, D.M.D.
• Blanding Hite, DO
• Heather Jobst Hitt, NP-C
• Erin Marie Hively, FNP-BC
• Sara P Hmielowski, MD
• Megan Nicole Hobbs, MD

• Professional Counselor in Savannah, GA
• Providers in Savannah, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.