Organization Active NPI

Renfro & Associates, LLC

  • Community/Behavioral Health Agency
  • Kenner, LA
National Provider Identifier
1083933501
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
3439 Issued in LA
Legal business name
RENFRO & ASSOCIATES, LLC
Practice address
3715 Williams Blvd Ste 105
Kenner, LA 70065-3066
Phone
(504) 201-2543
NPI assigned
May 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Authorized official

Name
Mr. Darrell L Renfro, M.ED, LPCNPI 1851610380
Title
Owner/Operator
Phone
(504) 339-4801

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 3439 LA Primary

Addresses

Primary practice location

3715 Williams Blvd Ste 105
Kenner, LA 70065-3066

Mailing address

4132 Georgia Ave Apt a
Kenner, LA 70065-2283
Phone (504) 339-4801

Other identifiers 1

IdentifierTypeStateIssuer
101Y00000XMedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240524002468 LA Part B Supplier - Clinic/Group Practice 6103268933 Receives reassigned benefits from 1 practitioner
Practice locations: Kenner, LA

National Provider Directory

National Provider Directory

Locations

3715 Williams Blvd
Ste 105
Kenner, LA 70065
Phone (504) 201-2543

3715 Williams Blvd
Ste 101
Kenner, LA 70065
Phone (504) 339-4801

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274659200000",
    "number": "1083933501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 GEORGIA AVE APT A",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652283",
            "telephone_number": "504-339-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 WILLIAMS BLVD STE 105",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653066",
            "telephone_number": "504-201-2543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENFRO & ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A",
        "authorized_official_last_name": "RENFRO",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "504-339-4801",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "LA",
            "license": "3439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101Y00000X",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.