MRS. MELISSA ELLEN RENNER (NPI# 1598066540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598066540 |
| Entity Type | Individual |
| Full Name | MRS. MELISSA ELLEN RENNER |
| Credential | LPC, CSOTP |
| Practice Address |
13000 Harbor Center Dr Ste 302 Woodbridge VA 22192-2847 |
| Practice Telephone | 7034922994 |
| Practice Fax Number | 7034905505 |
| Mailing Telephone | 7034922994 |
| Mailing Fax Number | 7034905505 |
| Enumeration Date | 2010-11-08 |
| Last Update Date | 2019-01-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 28 Ashby St Ste E, Warrenton, VA 201863246 | 5402163641 | 5402163656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316005002 | Melissa J Renner | Registered Nurse | 1045 Summitt Sq, Middletown, OH 45042-3464 | 2006-12-05 |
| 1861904427 | Melissa Renner | Registered Nurse | 401 S Queen St, Martinsburg, WV 25401-3233 | 2017-11-03 |
| Street Address |
13000 HARBOR CENTER DR STE 302 |
| City | WOODBRIDGE |
| State | VA |
| Zip Code | 22192-2847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245873645 | Ursula Jackson | Technician | 3500 Commission Ct, Woodbridge, VA 22192 | 2019-10-18 |
| 1205480779 | Ki Soo Park | Physical Therapy Assistant | 12825 Minnieville Road Suite 201, Lake Ridge, VA 22192 | 2019-08-01 |
| 1801448329 | Karen Lee Trivett | Specialist/Technologist, Other | 12584 Darby Brook Court, Woodbridge, VA 22192 | 2019-07-15 |
| 1407313166 | Nichele Amelia Thompson | Behavioral Analyst | 2731 Marblestone Dr, 101, Woodbridge, VA 22192 | 2019-02-28 |
| 1952877870 | Kimberly Ann Rojas Vazquez | Behavioral Analyst | 12531 Clipper Dr, Suite 203, Woodbridge, VA 22192 | 2018-10-18 |
| 1104391614 | Ykim Dental | Dentist | 2680 Optiz Blvd., Suite 120, Woodbridge, VA 22192 | 2018-10-11 |
| 1013418755 | Arm Transport | Non-emergency Medical Transport (VAN) | 13000 Harbor Center Dr Ste 132d, Woodbridge, VA 22192 | 2018-02-27 |
| 1811496813 | Francesca Nasi | Behavioral Analyst | 12531 Clipper Dr Ste 203, Woodbridge, VA 22192 | 2018-02-05 |
| 1942729504 | Bismark Transportation Service LLC | Non-emergency Medical Transport (VAN) | 12341 Woodlawn Court, Woodbridge, VA 22192 | 2017-09-14 |
| 1992226344 | Arm Baby Eldery Home Health LLC | Home Health | 13000 Harbor Center Dr # 312c, Woodbridge, VA 22192 | 2017-07-06 |
| Find all providers in zip 22192 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043671 | Holistically You Therapeutic Services, LLC | Counselor | 2227 Old Bridge Rd Unit 221, Woodbridge, VA 22192-3007 | 2020-11-03 |
| 1184248536 | Sherill Angelee Carpenter | Counselor | 3289 Eagle Ridge Dr, Woodbridge, VA 22191-6520 | 2020-06-02 |
| 1154943264 | Serenity Wellness, LLC | Counselor | 14105 Cove Landing Dr Apt 303, Woodbridge, VA 22191-2257 | 2020-05-12 |
| 1346882214 | Regina Angela Stone | Counselor | 4300a Ridgewood Center Dr, Woodbridge, VA 22192-5307 | 2019-10-11 |
| 1891341244 | Sabrina Adkinson | Counselor | 14952 Fig Ct, Woodbridge, VA 22193-6025 | 2019-08-12 |
| 1649838822 | Arcadian Counseling, LLC | Counselor | 176 Amity Rd # 283, Woodbridge, CT 06525 | 2019-06-03 |
| 1659848000 | Elaine Sue Kramer | Counselor | 12751 Marblestone Dr Ste 200, Woodbridge, VA 22192-8337 | 2018-10-24 |
| 1033685961 | A Fresh Start LLC | Counselor | 30 Hazel Ter Ste K, Woodbridge, CT 06525-2240 | 2018-10-18 |
| 1194209429 | Penny Kotsianas | Counselor | 503 Lyman Ave, Woodbridge, NJ 07095-2224 | 2018-09-22 |
| 1518441914 | Anew Hope, LLC | Counselor | 4196 Merchant Plz Ste 433, Woodbridge, VA 22192-5085 | 2018-09-20 |
| Find all providers in WOODBRIDGE | ||||
| City | WOODBRIDGE |
| Zip Code | 22192 |
Please comment or provide details below to improve the information on MRS. MELISSA ELLEN RENNER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.