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WILLARD JOHN RENZEMA MS MFT
NPI 1801293576
Marriage & Family Therapist in Menifee, CA

Active since November 24, 2014PECOS Enrolled
32810 SECRETARIAT CT, MENIFEE, CA 92584(951) 679-1747(951) 672-9792 Get Directions Write a Review

NPPES record last updated: November 24, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Willard John Renzema Ms Mft NPPES

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

WILLARD JOHN RENZEMA MS MFT (NPI 1801293576) is an individual marriage & family therapist in Menifee, California, licensed in California (MFC 42410) and active in the NPI registry since November 2014. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801293576
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameWILLARD JOHN RENZEMACredential: MS MFT
Location Address32810 SECRETARIAT CTMenifee, CA 92584-7843
Mailing Address32810 Secretariat CtMenifee, CA 92584-7843 · (951) 679-1747 · Fax (951) 672-9792
Phone(951) 679-1747
Fax(951) 672-9792
Sole ProprietorYes
Enumeration DateNovember 24, 2014
✔ NPI 1801293576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · MFC 42410
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
32810 SECRETARIAT CT, Menifee, CA 92584
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Willard John Renzema Ms Mft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Willard Renzema reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
369 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Willard Renzema's NPI number?

The NPI number for Willard Renzema is 1801293576. It was assigned to this individual provider in the NPPES registry on November 24, 2014.

Where is Willard Renzema located?

Willard Renzema practices at 32810 Secretariat Ct, Menifee, CA 92584. The listed phone number is (951) 679-1747.

What is Willard Renzema's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Willard Renzema enrolled in Medicare?

Yes. Willard Renzema is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Willard Renzema's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Willard Renzema reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Willard Renzema's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Willard Renzema was last updated on November 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.