Active NPI
Kayla Michelle Renteria, MS, LPCC
- Professional Counselor
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 242126
- Practice address
- 509 Barret Ave
Louisville, KY 40204 - Phone
- (502) 485-0722
- Fax
- (502) 485-0792
- NPI assigned
- Oct 28, 2015
- Last updated
- Jul 16, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 242126 | KY | |
| Professional Counselor | 101YP2500X | 242126 | KY | Primary |
Addresses
Primary practice location
509 Barret Ave
Louisville, KY 40204
Mailing address
8151 New Lagrange Rd
Louisville, KY 40222-4685
Phone (502) 400-2369
Other practice location 1
332 Highland Park Dr
Richmond, KY 40475-3487
Phone (859) 625-1955
Other practice location 2
12885 Frogtown Connector Rd
Walton, KY 41094-8391
Phone (859) 360-1044
Other practice location 3
126 E Public Sq
Glasgow, KY 42141-2602
Phone (270) 651-1236
Other practice location 4
2600 Ring Rd Ste 2
Elizabethtown, KY 42701-7902
Phone (270) 740-2300
Other practice location 5
1949 Goldsmith Ln Ste 103
Louisville, KY 40218-3096
Phone (502) 205-2319
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100336210 | Medicaid | KY |
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 |
|---|---|---|---|
| 242126 | KY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Beginnings Family Services, Inc. | Mental Health | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Louisville, KY
- NPI 1215242631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1790157949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8151 NEW LAGRANGE RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402224685",
"telephone_number": "502-400-2369",
"fax_number": "502-473-1070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 BARRET AVE",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "40204",
"telephone_number": "502-485-0722",
"fax_number": "502-485-0792"
}
],
"practiceLocations": [
{
"address_1": "332 Highland Park Dr",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "KY",
"postal_code": "404753487",
"country_code": "US",
"telephone_number": "859-625-1955",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12885 Frogtown Connector Rd",
"address_purpose": "LOCATION",
"city": "Walton",
"state": "KY",
"postal_code": "410948391",
"country_code": "US",
"telephone_number": "859-360-1044",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "126 E Public Sq",
"address_purpose": "LOCATION",
"city": "Glasgow",
"state": "KY",
"postal_code": "421412602",
"country_code": "US",
"telephone_number": "270-651-1236",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2600 Ring Rd Ste 2",
"address_purpose": "LOCATION",
"city": "Elizabethtown",
"state": "KY",
"postal_code": "427017902",
"country_code": "US",
"telephone_number": "270-740-2300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1949 Goldsmith Ln Ste 103",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402183096",
"country_code": "US",
"telephone_number": "502-205-2319",
"fax_number": "502-785-4003",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RENTERIA",
"first_name": "KAYLA",
"middle_name": "MICHELLE",
"credential": "MS, LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-28",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KY",
"license": "242126",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "KY",
"license": "242126",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100336210",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.