Individual provider Active NPI

Ginger Arlene Rennie, PSY.D.

  • Counselor
  • New Smyrna Beach, FL
National Provider Identifier
1912141805
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
221 N Causeway Ste B
New Smyrna Beach, FL 32169-5200
Phone
(386) 423-0442
Fax
(386) 423-0402
NPI assigned
Apr 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

221 N Causeway Ste B
New Smyrna Beach, FL 32169-5200

Mailing address

221 N Causeway Ste B
New Smyrna Beach, FL 32169-5200
Phone (386) 423-0442

Other names 1

  • Ms. Ginger Arlene Decker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20250328002534 FL Practitioner - Clinical Psychologist 5092257634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Volusia Neuropsychology and Behavioral Health IncGroup PAC ID 0244213874, 4 clinicians

Practice addresses (Care Compare)

221 N Causeway B
New Smyrna Beach, FL 32169-5200
Phone (386) 423-0442

512 Canal St
New Smyrna Beach, FL 32168-7012
Phone (386) 423-0442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581292800000",
    "number": "1912141805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 N CAUSEWAY STE B",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321695200",
            "telephone_number": "386-423-0442",
            "fax_number": "386-423-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 N CAUSEWAY STE B",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321695200",
            "telephone_number": "386-423-0442",
            "fax_number": "386-423-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENNIE",
        "first_name": "GINGER",
        "middle_name": "ARLENE",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-23",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINGER",
            "last_name": "DECKER",
            "middle_name": "ARLENE",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Smyrna Beach, FL

Sources for this page

Verify at the official NPI Registry.