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

Renee Lynn Wisdom, LPC

Individual provider Professional Counselor · NPI 1215444807

Renee Lynn Wisdom, LPC is a Mental Health Counselor in Saint Charles, Missouri. Qualified in 2012, 14 years ago. Practices as a sole proprietor, works from 2 locations and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
14
Licensed in
MO
In the registry since
2018
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

2001 Exchange Dr # 102
Saint Charles, MO 63303-5916
Phone: (636) 344-0133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2085 Bluestone Dr Ste 201, Saint Charles, MO 63303-6727 — (636) 344-0133

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 2013016360 (MO)

Record details

NPI number1215444807
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedJanuary 4, 2018
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 8, 2024
Mailing address278 Hickory Wood Dr, Lake St Louis, MO 63367-2589

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Saint Charles