Individual provider Active NPI

Amber D Rennirt

  • Marriage & Family Therapist
  • Louisville, KY
National Provider Identifier
1033889191
Registry record updated Sep 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
4613 Greenwood Rd
Louisville, KY 40258-3725
Phone
(502) 444-5433
Fax
(502) 535-2618
NPI assigned
Sep 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X KY Primary

Addresses

Primary practice location

4613 Greenwood Rd
Louisville, KY 40258-3725

Mailing address

8106 Red Stone Hill Rd
Louisville, KY 40214-4614
Phone (502) 444-5433

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

Practice roles

OrganizationSpecialtyStatusNew patients
Life in Motion LLC Marriage & Family Therapist CurrentSince Jul 24, 2022 Accepting new patients
Life in Motion LLC Marriage & Family Therapist CurrentSince Sep 28, 2021 Accepting new patients

Locations

4613 Greenwood Rd
Louisville, KY 40258
Phone (502) 444-5433

Organizations & group practices 2

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": "1632096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632096000000",
    "number": "1033889191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8106 RED STONE HILL RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402144614",
            "telephone_number": "502-444-5433",
            "fax_number": "502-535-2618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4613 GREENWOOD RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402583725",
            "telephone_number": "502-444-5433",
            "fax_number": "502-535-2618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNIRT",
        "first_name": "AMBER",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-20",
        "last_updated": "2021-09-20",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.