Renata Klosterman, MA,NCC,LPC,CSAC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0701006570 Issued in VA

Practice address

605 N Main St
Culpeper, VA 22701-2609

Phone

(540) 727-0770

Fax

(540) 727-7310

NPI assigned

Apr 7, 2016

Last updated

Apr 7, 2016By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rappahannock-Rapidan Community Services BoardGroup PAC ID 5496649584, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

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.

• Rappahannock-Rapidan Community Services Board

  • Community/Behavioral Health Agency
  • Warrenton, VA
  • NPI 1568424364
  Medicare reassignment Care Compare group NPD
• Rappahannock Rapidan CSB

  • Early Intervention Provider Agency
  • Culpeper, VA
  • NPI 1750504833
  NPD

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

{
    "created_epoch": "1459987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459987200000",
    "number": "1437513249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N MAIN ST",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227012609",
            "telephone_number": "540-727-0770",
            "fax_number": "540-727-7310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N MAIN ST",
            "city": "CULPEPER",
            "state": "VA",
            "postal_code": "227012609",
            "telephone_number": "540-727-0770",
            "fax_number": "540-727-7310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOSTERMAN",
        "first_name": "RENATA",
        "credential": "MA,NCC,LPC,CSAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-07",
        "last_updated": "2016-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "0710102864",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701006570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jun W. Kim, M.D.
• Joshua D. King, M.D.
• Maryam Zohreh Kirnos
• Christina Marie Kistler
• Faith Klein, PHARMD
• Michele Emory Koczman, PA
• April Kopanyi, FNP-C
• Joe Kube
• Elisa J Kucia, MD
• Matthew Richard Kucia, MD

• Professional Counselor in Culpeper, VA
• Providers in Culpeper, VA by specialty
• Professional Counselor in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.