Kiabeth Reynoso Renteria, LPCC
NPI 1639668353ActiveIndividual· Counselor, Professional· Elk Grove, CA
Counselor, Professional (LPCC) in Elk Grove, California, licensed in CA, with an NPI issued in May 2018. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1639668353 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPCC |
| Sole proprietor | No |
| NPI issued | May 8, 2018 |
| Last updated in NPPES | Feb 26, 2026 |
| Certified by provider | Feb 26, 2026 |
| Reactivated | Feb 26, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | LPCC19454 | CA |
| Counselor, Mental Health | 101YM0800X | APCC8941 | CA |
| Behavior Technician | 106S00000X | RBT-18-48872 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (CA) |
|---|
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