Rena M Fall
Counselor, Mental Health in Olympia, WA. Individual provider (NPI-1).
NPI number1124558705
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1124558705
- Entity type
- Individual (NPI-1)
- Name
- Rena M Fall
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2017
- Last updated
- Jul 21, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
3857 Martin Way EastOlympia, WA 98506
Phone 360-236-7160 · Fax 360-438-1642
Mailing address
3857 Martin Way EOlympia, WA 98506-5268
Phone 360-236-7160 · Fax 360-438-1642
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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