Individual provider Active NPI

Renald Sanrelus

  • Mental Health Counselor
  • Springfield, NJ
National Provider Identifier
1336872902
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
37AC00618300 Issued in NJ
Practice address
28 Millburn Ave Ste 8
Springfield, NJ 07081-1023
Phone
(732) 674-9857
NPI assigned
Jul 1, 2022
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 37AC00618300 NJ Primary

Addresses

Primary practice location

28 Millburn Ave Ste 8
Springfield, NJ 07081-1023

Mailing address

576 Ashwood Rd
Springfield, NJ 07081-2527
Phone (908) 481-5123

Other practice location 1

200 Middlesex Essex Tpke Ste 304
Iselin, NJ 08830-2033
Phone (732) 455-2343

Other practice location 2

625 Central Ave Ste 91011
Westfield, NJ 07090-2524
Phone (732) 674-9857

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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 1

Enrollment IDStateProvider typePAC IDDetails
I20260102003617 NJ Practitioner - Mental Health Counselor 8921594516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imge Rehabilitation LLCGroup PAC ID 8527304062, 2 clinicians

Practice addresses (Care Compare)

200 Middlesex Essex Tpke
Suite 304
Iselin, NJ 08830-2033
Phone (732) 455-2343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37AC00618300NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Imge Rehabilitation LLC Multi-Specialty CurrentSince Dec 1, 2025 Accepting new patients

Locations

200 Middlesex Essex Tpke
Ste 304
Iselin, NJ 08830
Phone (732) 455-2343

Organizations & group practices 1

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": "1656633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1336872902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 ASHWOOD RD",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070812527",
            "telephone_number": "908-481-5123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MILLBURN AVE STE 8",
            "city": "SPRINGFIELD",
            "state": "NJ",
            "postal_code": "070811023",
            "telephone_number": "732-674-9857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Middlesex Essex Tpke Ste 304",
            "address_purpose": "LOCATION",
            "city": "Iselin",
            "state": "NJ",
            "postal_code": "088302033",
            "country_code": "US",
            "telephone_number": "732-455-2343",
            "fax_number": "732-860-1350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 Central Ave Ste 91011",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "NJ",
            "postal_code": "070902524",
            "country_code": "US",
            "telephone_number": "732-674-9857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANRELUS",
        "first_name": "RENALD",
        "sole_proprietor": "YES",
        "sex": "U",
        "enumeration_date": "2022-07-01",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "37AC00618300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, NJ

Sources for this page

Verify at the official NPI Registry.