Individual provider Active NPI

Kristina Renn, PPSC

  • School Counselor
  • Grass Valley, CA
National Provider Identifier
1962395061
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
License
240225061 Issued in CA
Practice address
11638 Colfax Hwy
Grass Valley, CA 95945-8805
Phone
(530) 273-8456
NPI assigned
May 29, 2025
Sex
Female
Sole proprietor
No

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

State licenses

LicenseStateTypeSpecialty
240225061CAMDSchool Counselor

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Counselor 101YS0200X 240225061 CA Primary

Addresses

Primary practice location

11638 Colfax Hwy
Grass Valley, CA 95945-8805

Mailing address

11638 Colfax Hwy
Grass Valley, CA 95945-8805

NPI Registry JSON

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

{
    "created_epoch": "1748476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1962395061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11638 COLFAX HWY",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959458805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11638 COLFAX HWY",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959458805",
            "telephone_number": "530-273-8456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RENN",
        "first_name": "KRISTINA",
        "credential": "PPSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-29",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "CA",
            "license": "240225061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.