Individual provider Active NPI

Kayla Michelle Renteria, MS, LPCC

  • Professional Counselor
  • Louisville, KY
National Provider Identifier
1790157949
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
242126 Issued in KY
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, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
7100336210MedicaidKY

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

LicenseStateTypeSpecialty
242126KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.