Active NPI
Samantha Rentner Barr, MA, LPC, NCC
- Counselor
- Portland, OR
National Provider Identifier
1033510680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C4127
- Practice address
- 1675 SW Marlow Ave Ste 210G
Portland, OR 97225-5162 - Phone
- (971) 319-2551
- NPI assigned
- Sep 12, 2014
- Last updated
- Mar 17, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | C4127 | OR | Primary |
Addresses
Primary practice location
1675 SW Marlow Ave Ste 210G
Portland, OR 97225-5162
Mailing address
23012 Bland Cir
West Linn, OR 97068-8283
Phone (971) 319-2551
Other names 1
- Ms. Samantha Nicole Rentner
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C4127 | OR | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ausculator, Inc. | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- West Linn, OR
- NPI 1871445734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1033510680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23012 BLAND CIR",
"city": "WEST LINN",
"state": "OR",
"postal_code": "970688283",
"telephone_number": "971-319-2551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1675 SW MARLOW AVE STE 210G",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972255162",
"telephone_number": "971-319-2551"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARR",
"first_name": "SAMANTHA",
"middle_name": "RENTNER",
"name_prefix": "Ms.",
"credential": "MA, LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-12",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OR",
"license": "C4127",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "RENTNER",
"middle_name": "NICOLE",
"prefix": "MS.",
"credential": "MA, LPC, NCC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.