RENAE ROBERTSON BS
NPI 1306349329
Counselor - Mental Health in Fairfield, IL

Active since March 15, 2018
407 N BASIN RD, FAIRFIELD, IL 62837(618) 842-2125 Get Directions Write a Review

NPPES record last updated: March 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Renae Robertson Bs NPPES

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

RENAE ROBERTSON BS (NPI 1306349329) is an individual mental health provider in Fairfield, Illinois and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1306349329
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameRENAE ROBERTSONCredential: BS
Location Address407 N BASIN RDFairfield, IL 62837-9639
Mailing AddressPo Box MOlney, IL 62450-0913
Sole ProprietorNo
Enumeration DateMarch 15, 2018
NPI 1306349329 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
407 N BASIN RD, Fairfield, IL 62837

Other Identifiers 1

Medicaid20150720346262IL

Other Providers at the Same Location NPPES 10

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

Counselor (Addiction (Substance Use Disorder))
407 N BASIN RD
FAIRFIELD, IL 62837
Counselor (Mental Health)
407 N BASIN RD
FAIRFIELD, IL 62837
Counselor (Mental Health)
407 N BASIN RD
FAIRFIELD, IL 62837
Clinic/Center (Mental Health (Including Community Mental Health Center))
407 N BASIN RD
FAIRFIELD, IL 62837
Clinic/Center (Rehabilitation, Substance Use Disorder)
407 N BASIN RD
FAIRFIELD, IL 62837
Counselor
407 N BASIN RD
FAIRFIELD, IL 62837
Counselor (Addiction (Substance Use Disorder))
407 N BASIN RD
FAIRFIELD, IL 62837
Counselor (Addiction (Substance Use Disorder))
407 N BASIN RD
FAIRFIELD, IL 62837

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 Robertson's NPI number?

The NPI number for Renae Robertson is 1306349329. It was assigned to this individual provider in the NPPES registry on March 15, 2018.

Where is Renae Robertson located?

Renae Robertson practices at 407 N Basin Rd, Fairfield, IL 62837. The listed phone number is (618) 842-2125.

What is Renae Robertson's specialty?

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

When was this NPI record last updated?

The NPPES record for Renae Robertson was last updated on March 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.