MIRANDA M RENNER SAC-IT
NPI 1114630084
Counselor - Addiction (Substance Use Disorder) in Appleton, WI

Active since January 05, 2023
3301 N BALLARD RD STE B, APPLETON, WI 54911(920) 733-4443 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miranda M Renner Sac-it NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRANDA M RENNER SAC-IT (NPI 1114630084) is an individual addiction (substance use disorder) provider in Appleton, Wisconsin, licensed in Wisconsin (20113-130) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1114630084
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMIRANDA M RENNERCredential: SAC-IT
Location Address3301 N BALLARD RD STE BAppleton, WI 54911-9002
Mailing Address3301 N Ballard Rd Ste BAppleton, WI 54911-9002 · (920) 733-4443
Sole ProprietorYes
Enumeration DateJanuary 5, 2023
NPPES CertifiedJanuary 5, 2023
NPI 1114630084 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WI · 20113-130
3301 N BALLARD RD STE B, Appleton, WI 54911

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse
3301 N BALLARD RD STE B
APPLETON, WI 54911
Counselor (Addiction (Substance Use Disorder))
3301 N BALLARD RD STE B
APPLETON, WI 54911
Social Worker (Clinical)
3301 N BALLARD RD STE B
APPLETON, WI 54911
Licensed Practical Nurse
3301 N BALLARD RD STE B
APPLETON, WI 54911
Registered Nurse
3301 N BALLARD RD STE B
APPLETON, WI 54911
Registered Nurse
3301 N BALLARD RD STE B
APPLETON, WI 54911
Registered Nurse
3301 N BALLARD RD STE B
APPLETON, WI 54911
Counselor (Addiction (Substance Use Disorder))
3301 N BALLARD RD STE B
APPLETON, WI 54911

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Miranda Renner's NPI number?

The NPI number for Miranda Renner is 1114630084. It was assigned to this individual provider in the NPPES registry on January 5, 2023.

Where is Miranda Renner located?

Miranda Renner practices at 3301 N Ballard Rd Ste B, Appleton, WI 54911. The listed phone number is (920) 733-4443.

What is Miranda Renner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Miranda Renner was last updated on January 5, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.