Individual provider Active NPI

Emily Rennard

  • Mental Health Counselor
  • Lynn, MA
National Provider Identifier
1013324011
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
112 Market St
Lynn, MA 01901
Phone
(781) 691-7665
NPI assigned
Jul 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

112 Market St
Lynn, MA 01901

Mailing address

112 Market St
Second Floor, Children'S Friend and Family Services
Lynn, MA 01901
Phone (781) 691-7665

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240708001965 MA Practitioner - Clinical Social Worker 3971048562 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Justice Resource Institute, Inc. CurrentSince May 18, 2024 Accepting new patients
Childrens Friend and Families Past Accepting new patients
Justice Resource Institute, Inc Past Accepting new patients

Locations

380 Massachusetts Ave
Acton, MA 01720
Phone (978) 263-3006

112 Market St
Ste 2
Lynn, MA 01901
Phone (781) 592-5691

160 Gould St
Ste 300
Needham Heights, MA 02494
Phone (781) 559-4900

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484092800000",
    "number": "1013324011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MARKET ST",
            "address_2": "SECOND FLOOR, CHILDREN'S FRIEND AND FAMILY SERVICES",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "01901",
            "telephone_number": "781-691-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MARKET ST",
            "city": "LYNN",
            "state": "MA",
            "postal_code": "01901",
            "telephone_number": "781-691-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNARD",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2017-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynn, MA

Sources for this page

Verify at the official NPI Registry.