Active NPI
Peter John Rennick, M.S.
- Mental Health Counselor
- Tempe, AZ
National Provider Identifier
1932178803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LPC-1067
- Practice address
- 2101 E Broadway Rd
Tempe, AZ 85282-1879 - Phone
- (602) 306-0110
- Fax
- (480) 921-0307
- NPI assigned
- Mar 14, 2006
- 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 | LPC-1067 | AZ | Primary |
Addresses
Primary practice location
2101 E Broadway Rd
Tempe, AZ 85282-1879
Mailing address
325 W la Jolla Dr
Tempe, AZ 85282-4805
Phone (602) 306-0110
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 |
|---|---|---|---|
| LPC-1067 | AZ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1932178803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 W LA JOLLA DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852824805",
"telephone_number": "602-306-0110",
"fax_number": "480-921-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2101 E BROADWAY RD",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852821879",
"telephone_number": "602-306-0110",
"fax_number": "480-921-0307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENNICK",
"first_name": "PETER",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AZ",
"license": "LPC-1067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.