KIMBERLY ANN RENNA NPI 1811454127

NPI Information

  • NPI: 1811454127
  • Provider Name: KIMBERLY ANN RENNA
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 28 SYCAMORE DR
    HAZLET, NJ
    ZIP 07730
  • Phone: (908) 902-6593

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NPI Details

Kimberly Ann Renna is a mental health counselor in Hazlet, NJ. Kimberly Ann Renna NPI is 1811454127. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

28 SYCAMORE DR
HAZLET, NJ
ZIP 07730-833
Phone: (908) 902-6593

The enumeration date for this NPI number is 2/22/2019 and was last updated on 2/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthNEW YORKYes
2103TC1900XPsychologistCounselingNo
3103TP0016XPsychologistPrescribing (Medical)No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12949511045MEDICAIDNEW JERSEY
2Q1S1255211850010OTHERNEW JERSEYAMERIHEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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