Active NPI
Eric Dean Rensberger, M.S., LCSW
- Mental Health Counselor
- Bloomington, IN
National Provider Identifier
1295878460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 34002812
- Practice address
- 115 N College Ave
Suite 113
Bloomington, IN 47404-3972 - Phone
- (812) 335-4147
- NPI assigned
- Feb 15, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 34002812 | IN | Primary |
Addresses
Primary practice location
115 N College Ave
Suite 113
Bloomington, IN 47404-3972
Mailing address
115 N College Ave
Suite 113
Bloomington, IN 47404-3972
Phone (812) 335-4147
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34002812 | IN | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1295878460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 N COLLEGE AVE",
"address_2": "SUITE 113",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474043972",
"telephone_number": "812-335-4147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 N COLLEGE AVE",
"address_2": "SUITE 113",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474043972",
"telephone_number": "812-335-4147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENSBERGER",
"first_name": "ERIC",
"middle_name": "DEAN",
"credential": "M.S., LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "IN",
"license": "34002812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.