Jenna Renfroe, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PY9563 Issued in FL

Practice address

717 Green Valley Rd Ste 200
Greensboro, NC 27408-2156

Phone

(336) 542-1800

Fax

(336) 542-1800

NPI assigned

Oct 22, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jena Dietz Former name

Medicare fee-for-service enrollment

Enrolled in SC, NC2 enrollments

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 2

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Tailored Brain Health PLLCGroup PAC ID 7517375199, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Tailored Brain Health PLLC

  • Adult Mental Health Clinic/Center
  • Greensboro, NC
  • NPI 1962081885
  Medicare reassignment Care Compare group NPD Authorized official
• Southern Baptist Hospital of Florida Inc

  • Home Health Agency
  • Jacksonville, FL
  • NPI 1841351632
  NPD (past)

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1043682669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 GREEN VALLEY RD STE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082156",
            "telephone_number": "336-542-1800",
            "fax_number": "336-542-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 GREEN VALLEY RD STE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274082156",
            "telephone_number": "336-542-1800",
            "fax_number": "336-542-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "841 Prudential Dr",
            "address_2": "Tenth Floor",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078329",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "fax_number": "904-396-8975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8355 Merchants Gate Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322225848",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "fax_number": "904-390-7419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENFROE",
        "first_name": "JENNA",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "FL",
            "license": "PY9563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENA",
            "last_name": "DIETZ",
            "credential": "PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marylee Williamson Rembert, MSW,ACSW,LCSW
• Elizabeth Remsburg
• Renaissance Healthcare Group Raleigh, LLC
• Renaissance Healthcare Systems, LLC
• Renewed Minds Therapeutic Services LLC
• Emily Catherine Renn, RN
• Julie Elizabeth Rennie, CRNA
• Bharaneeshwar Renukuntla
• Heather Riley Replogle, MS, CRC, LPCA
• Request Transportation LLC

• Clinical Neuropsychologist in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Clinical Neuropsychologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.