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RENAE MALLETT MA, LPC
NPI 1174959506
Counselor - Mental Health in Colorado Springs, CO

Active since September 17, 2013
4390 N ACADEMY BLVD STE 201, COLORADO SPRINGS, CO 80918(719) 301-9496 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Renae Mallett Ma, Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RENAE MALLETT MA, LPC (NPI 1174959506) is an individual mental health provider in Colorado Springs, Colorado, licensed in Colorado (0006395) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1174959506
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameRENAE MALLETTCredential: MA, LPC
Location Address4390 N ACADEMY BLVD STE 201Colorado Springs, CO 80918-6657
Mailing Address4390 N Academy Blvd Ste 201Colorado Springs, CO 80918-6657 · (719) 301-9496
Phone(719) 301-9496
Sole ProprietorNo
Enumeration DateSeptember 17, 2013
Last NPPES UpdateMarch 25, 2024
NPPES CertifiedMarch 25, 2024
✔ NPI 1174959506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CO · 0006395
4390 N ACADEMY BLVD STE 201, Colorado Springs, CO 80918
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Other Names 1

Former Name (1)Renae Thacker Ma, Lpc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BLOOM BETWEEN, LLC
Counselor (Professional)
4390 N ACADEMY BLVD STE 201
COLORADO SPRINGS, CO 80918
El Paso County (719) 357-8086
GROWING HOPE AND HEARTS COUNSELING, LLC
Counselor (Mental Health)
4390 N ACADEMY BLVD STE 201
COLORADO SPRINGS, CO 80918
El Paso County (719) 301-9496
DR. JAYLYNNE S KOCH PHD, LPC, RPT-S
Counselor (Professional)
4390 N ACADEMY BLVD STE 201
COLORADO SPRINGS, CO 80918
El Paso County (719) 357-8086

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Renae Mallett's NPI number?

The NPI number for Renae Mallett is 1174959506. It was assigned to this individual provider in the NPPES registry on September 17, 2013. The provider is also known as Renae Thacker Ma, Lpc.

Where is Renae Mallett located?

Renae Mallett practices at 4390 N Academy Blvd Ste 201, Colorado Springs, CO 80918. The listed phone number is (719) 301-9496.

What is Renae Mallett's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Renae Mallett accept?

Health plans from Providence Health Plan list Renae Mallett as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Renae Mallett was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.