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RENEE COLLEEN BACON
NPI 1639860448
Counselor in Big Bear Lake, CA

Active since May 15, 2023
41945 BIG BEAR BLVD STE 222, BIG BEAR LAKE, CA 92315(909) 809-6657 Get Directions Write a Review

NPPES record last updated: May 15, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Renee Colleen Bacon NPPES

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

RENEE COLLEEN BACON (NPI 1639860448) is an individual counselor in Big Bear Lake, California and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1639860448
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameRENEE COLLEEN BACON
Location Address41945 BIG BEAR BLVD STE 222Big Bear Lake, CA 92315-2030
Mailing AddressPo Box 1927Big Bear Lake, CA 92315-1927
Phone(909) 809-6657
Sole ProprietorNo
Enumeration DateMay 15, 2023
NPPES CertifiedMay 15, 2023
✔ NPI 1639860448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
41945 BIG BEAR BLVD STE 222, Big Bear Lake, CA 92315
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Other Providers at the Same Location NPPES 16

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

MISS KITA LASTRAPE
Nurse Practitioner (Psychiatric/Mental Health)
41945 BIG BEAR BLVD STE 222
BIG BEAR LAKE, CA 92315
San Bernardino County (909) 866-5070
MERCADIES JOELLE MCDONALD RECEPTIONIST
Adult Companion
41945 BIG BEAR BLVD STE 222
BIG BEAR LAKE, CA 92315
San Bernardino County (909) 866-5070
STEPHANIE ANN MARES BSW
Student in an Organized Health Care Education/Training Program
41945 BIG BEAR BLVD STE 222
BIG BEAR LAKE, CA 92315
San Bernardino County (760) 684-2233
LUTHERAN SOCIAL SERVICES OF SOUTHERN CALIFORNIA
Counselor (Mental Health)
41945 BIG BEAR BLVD STE 222
BIG BEAR LAKE, CA 92315
San Bernardino County (909) 866-5070
JESSICA NOLAN
Marriage & Family Therapist
41945 BIG BEAR BLVD STE 222
BIG BEAR LAKE, CA 92315
San Bernardino County (909) 866-5070
KRISTI LYNN MILLER MFT- TRAINEE
Student in an Organized Health Care Education/Training Program
41945 BIG BEAR BLVD STE 222
BIG BEAR LAKE, CA 92315
San Bernardino County (909) 644-8409
KATHERYNE ESTELLE MENDEZ
Day Training/Habilitation Specialist
41945 BIG BEAR BLVD STE 222
BIG BEAR LAKE, CA 92315
San Bernardino County (760) 898-9625
TARA NICOLE WESSEL SWOBODA
Case Manager/Care Coordinator
41945 BIG BEAR BLVD STE 222
BIG BEAR LAKE, CA 92315
San Bernardino County (909) 866-5070

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 Renee Bacon's NPI number?

The NPI number for Renee Bacon is 1639860448. It was assigned to this individual provider in the NPPES registry on May 15, 2023.

Where is Renee Bacon located?

Renee Bacon practices at 41945 Big Bear Blvd Ste 222, Big Bear Lake, CA 92315. The listed phone number is (909) 809-6657.

What is Renee Bacon's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Renee Bacon was last updated on May 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.