Active NPI
Robert George Renna, M.ED, LMHC
- Mental Health Counselor
- Norwood, MA
National Provider Identifier
1477021087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 544
- Practice address
- 89 Access Rd Ste 24
Norwood, MA 02062-5233 - Phone
- (781) 626-5463
- Fax
- (781) 626-5465
- NPI assigned
- Nov 13, 2018
- Sex
- Male
- Sole proprietor
- No
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 | 544 | MA | Primary |
Addresses
Primary practice location
89 Access Rd Ste 24
Norwood, MA 02062-5233
Mailing address
198 Stonehaven Drive
Weymouth, MA 02190
Phone (781) 835-6431
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 544 | Other | MA | LICENSED MENTAL HEALTH COUNSELOR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 544 | MA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thrive Counseling LLC | Mental Health | Current | Accepting new patients |
| Child and Family Psychological Services, PLLC | Mental Health | Past | Accepting new patients |
Locations
872 Massachusetts Ave
Ste 2-2
Cambridge, MA 02139
Phone 6173804651 ext. 1992
101 Adams St
Ste 26
Quincy, MA 02169
Phone (469) 826-2779
Organizations & group practices 2
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": "1542067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544745600000",
"number": "1477021087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "198 STONEHAVEN DRIVE",
"city": "WEYMOUTH",
"state": "MA",
"postal_code": "02190",
"telephone_number": "781-835-6431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89 ACCESS RD STE 24",
"city": "NORWOOD",
"state": "MA",
"postal_code": "020625233",
"telephone_number": "781-626-5463",
"fax_number": "781-626-5465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENNA",
"first_name": "ROBERT",
"middle_name": "GEORGE",
"name_prefix": "Mr.",
"credential": "M.ED, LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-11-13",
"last_updated": "2018-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "MA",
"license": "544",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED MENTAL HEALTH COUNSELOR",
"identifier": "544",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Norwood, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.