Individual provider Active NPI

Darrell L Renfro, M.ED, LPC

  • Professional Counselor
  • Kenner, LA
National Provider Identifier
1851610380
Registry record updated May 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3439 Issued in LA
Practice address
3715 Williams Blvd Ste 105
Kenner, LA 70065-3066
Phone
(504) 339-4801
NPI assigned
May 24, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3439 LA Primary

Addresses

Primary practice location

3715 Williams Blvd Ste 105
Kenner, LA 70065-3066

Mailing address

4132 Georgia Ave Apt a
Kenner, LA 70065-2283
Phone (504) 339-4801

Other identifiers 1

IdentifierTypeStateIssuer
101Y00000XMedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20240528000551 LA Practitioner - Mental Health Counselor 9335581032 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
3439LAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Renfro & Associates, LLC CurrentSince Apr 3, 2024 Accepting new patients

Locations

3715 Williams Blvd
Ste 105
Kenner, LA 70065
Phone (504) 201-2543

3715 Williams Blvd
Ste 101
Kenner, LA 70065
Phone (504) 339-4801

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1274659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274659200000",
    "number": "1851610380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 GEORGIA AVE APT A",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652283",
            "telephone_number": "504-339-4801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 WILLIAMS BLVD STE 105",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700653066",
            "telephone_number": "504-339-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENFRO",
        "first_name": "DARRELL",
        "middle_name": "L",
        "credential": "M.ED, LPC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-24",
        "last_updated": "2010-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "3439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101Y00000X",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

Verify at the official NPI Registry.