Individual provider Active NPI

John Renner, MA, LPC

  • Mental Health Counselor
  • Cincinnati, OH
National Provider Identifier
1174351787
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
C.2406222 Issued in OH
Practice address
4030 Mount Carmel Tobasco Rd Ste 102
Cincinnati, OH 45255-3408
Phone
(513) 488-7161
NPI assigned
Jul 24, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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 C.2406222 OH Primary

Addresses

Primary practice location

4030 Mount Carmel Tobasco Rd Ste 102
Cincinnati, OH 45255-3408

Mailing address

3611 Wilshire Ave
Cincinnati, OH 45208-1738
Phone (216) 644-5397

Other practice location 1

10945 Reed Hartman Hwy Ste 302
Blue Ash, OH 45242-2852
Phone (513) 488-7161

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

LicenseStateTypeSpecialty
C.2406222OHMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1721779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1174351787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 WILSHIRE AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452081738",
            "telephone_number": "216-644-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 MOUNT CARMEL TOBASCO RD STE 102",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452553408",
            "telephone_number": "513-488-7161"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10945 Reed Hartman Hwy Ste 302",
            "address_purpose": "LOCATION",
            "city": "Blue Ash",
            "state": "OH",
            "postal_code": "452422852",
            "country_code": "US",
            "telephone_number": "513-488-7161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RENNER",
        "first_name": "JOHN",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-24",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C.2406222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; 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.