RENAE HOLBROOK LPC
NPI 1619853199
Counselor - Professional in Gilbert, AZ
About Renae Holbrook Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RENAE HOLBROOK LPC (NPI 1619853199) is an individual professional provider in Gilbert, Arizona, licensed in Arizona (LPC-22176) and active in the NPI registry since August 2025. She has opted out of Medicare through February 17, 2028.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Renae Holbrook Lpc has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 17, 2026 through February 17, 2028.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GILBERT, AZ 85296
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 Holbrook's NPI number?
The NPI number for Renae Holbrook is 1619853199. It was assigned to this individual provider in the NPPES registry on August 12, 2025.
Where is Renae Holbrook located?
Renae Holbrook practices at 690 E Warner Rd Ste 115, Gilbert, AZ 85296. The listed phone number is (480) 444-2434.
What is Renae Holbrook's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Renae Holbrook enrolled in Medicare?
No. Renae Holbrook has opted out of Medicare through February 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
When was this NPI record last updated?
The NPPES record for Renae Holbrook was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Renae Holbrook, LPC · NPI 1619853199
Professional provider in Gilbert, Arizona. Individual provider, active in the CMS NPPES registry since August 12, 2025.
## Identity
- **NPI:** 1619853199 (Entity type: Individual)
- **Enumerated:** August 12, 2025
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** LPC-22176 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 690 E WARNER RD STE 115, Gilbert, AZ 85296-3056
- **Phone:** (480) 444-2434
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through February 17, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** August 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1619853199) · Data from the CMS NPPES public registry.