Renee Louise Santoro

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

8401 Wayzata Blvd Ste 340
Golden Valley, MN 55426-1365

Phone

(763) 556-0088

Fax

(763) 556-0089

NPI assigned

Jan 22, 2021

Last updated

Jan 22, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Renee Louise Owens Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Christian Recovery CenterGroup PAC ID 9638184468, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Christian Recovery Center

  dba Christian Recovery Counseling

  • Psychologist
  • Golden Valley, MN
  • NPI 1003879164
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611273600000",
    "number": "1376133439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 WAYZATA BLVD STE 340",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261365",
            "telephone_number": "763-556-0088",
            "fax_number": "763-556-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 WAYZATA BLVD STE 340",
            "city": "GOLDEN VALLEY",
            "state": "MN",
            "postal_code": "554261365",
            "telephone_number": "763-556-0088",
            "fax_number": "763-556-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTORO",
        "first_name": "RENEE",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tkephart@newpathmhs.com",
            "affiliation": "N",
            "address_1": "8401 Wayzata Blvd Ste 340",
            "city": "Golden Valley",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554261365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "OWENS",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anna Samarskaya, PTA
• Amy Marie Samson-Burke, P.T.
• Mabel Sanchez
• Sue Ann Sandahl, OTR L
• Amanda Rae Sankermenon, OTR
• Molly A Sartor, MA
• Erin Marie Sawyer, PTA
• Grace Sawyer
• Gregory S Sawyer, LMFT
• Maryam Sayyadi

• Professional Counselor in Golden Valley, MN
• Providers in Golden Valley, MN by specialty
• Professional Counselor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; 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.