JENNY RENVILLE DHA, MA, LCMHCA, NCC
NPI 1124670500
Counselor - Professional in Waxhaw, NC
About Jenny Renville Dha, Ma, Lcmhca, Ncc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JENNY RENVILLE DHA, MA, LCMHCA, NCC (NPI 1124670500) is an individual professional provider in Waxhaw, North Carolina, licensed in North Carolina (A16484) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Liberty Univ College Of Osteopathic Medicine (2020).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jenny Renville Dha, Ma, Lcmhca, Ncc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WAXHAW, NC 28173
WAXHAW, NC 28173
WAXHAW, NC 28173
WAXHAW, NC 28173
WAXHAW, NC 28173
WAXHAW, NC 28173
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 Jenny Renville's NPI number?
The NPI number for Jenny Renville is 1124670500. It was assigned to this individual provider in the NPPES registry on July 15, 2019.
Where is Jenny Renville located?
Jenny Renville practices at 104 Waxhaw Professional Park Dr Ste D, Waxhaw, NC 28173. The listed phone number is (704) 277-9009.
What is Jenny Renville's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Jenny Renville enrolled in Medicare?
Yes. Jenny Renville is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Jenny Renville accept?
Health plans from Blue Cross and Blue Shield of NC list Jenny Renville as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jenny Renville was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jenny Renville, DHA, MA, LCMHCA, NCC · NPI 1124670500
Professional provider in Waxhaw, North Carolina. Individual provider, active in the CMS NPPES registry since July 15, 2019.
## Identity
- **NPI:** 1124670500 (Entity type: Individual)
- **Enumerated:** July 15, 2019
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** A16484 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 104 WAXHAW PROFESSIONAL PARK DR STE D, Waxhaw, NC 28173-5020
- **Phone:** (704) 277-9009
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Liberty Univ College Of Osteopathic Medicine, class of 2020
## Record status
- **NPPES last updated:** April 27, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1124670500) · Data from the CMS NPPES public registry.