Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Paul Derenzo, LMHCA

Individual provider Mental Health Counselor · NPI 1477308138

Paul Derenzo, LMHCA is a Mental Health Counselor in Spokane, Washington. Qualified in 1986, 40 years ago. Practices with Mindful Therapy Group PC, a 646-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
40
Licensed in
WA
In the registry since
2024
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Practice location Address checks out

100 N Howard St Ste W
Spokane, WA 99201-0508
Phone: (206) 348-4671
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MHC.LH.70024967 (WA)

Record details

NPI number1477308138
Entity typeIndividual (Type 1)
GenderMale
Credentials LMHCA
Sole proprietorYes
NPI enumeratedApril 17, 2024
Last updated in NPPESJanuary 26, 2026
Certification dateJanuary 26, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Mindful Therapy Group Pc — 646 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Spokane