1. Home
  2. Directory
  3. Minnesota
  4. Minneapolis
  5. Counselor
  6. NPI Profile

SAM RENNEBERG BS, LADC
NPI 1164191177
Counselor - Addiction (Substance Use Disorder) in Minneapolis, MN

Active since September 13, 2021
2200 1ST AVE S, MINNEAPOLIS, MN 55404(612) 235-4590 Get Directions Write a Review

NPPES record last updated: September 13, 2021. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Sam Renneberg Bs, Ladc NPPES

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

SAM RENNEBERG BS, LADC (NPI 1164191177) is an individual addiction (substance use disorder) provider in Minneapolis, Minnesota, licensed in Minnesota (306080) and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1164191177
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameSAM RENNEBERGCredential: BS, LADC
Location Address2200 1ST AVE SMinneapolis, MN 55404-3401
Mailing Address2200 1st Ave SMinneapolis, MN 55404-3401 · (612) 235-4590
Phone(612) 235-4590
Sole ProprietorNo
Enumeration DateSeptember 13, 2021
NPPES CertifiedSeptember 13, 2021
✔ NPI 1164191177 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 MN · 306080
2200 1ST AVE S, Minneapolis, MN 55404
Open in Google Maps ↗

Other Providers at the Same Location NPPES 7

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

SYDNE ADAMS LPN
Licensed Practical Nurse
2200 1ST AVE S
MINNEAPOLIS, MN 55404
Hennepin County (612) 871-7567
TRICIA BRISCOE
Counselor
2200 1ST AVE S
MINNEAPOLIS, MN 55404
Hennepin County (612) 594-8109
MISS TARA CLEMENCIA STEFFEN LADC
Counselor (Addiction (Substance Use Disorder))
2200 1ST AVE S
MINNEAPOLIS, MN 55404
Hennepin County (612) 767-0307
CHADWICK TREVOR WALKER LADC
Counselor (Addiction (Substance Use Disorder))
2200 1ST AVE S
MINNEAPOLIS, MN 55404
Hennepin County (612) 286-0855
ANDREW EMORY WATERS LPCC, LMHC, LADC
Counselor (Mental Health)
2200 1ST AVE S
MINNEAPOLIS, MN 55404
Hennepin County (612) 767-0307
MS. MEGHANN MARIE DROEGER ADC-T
Counselor (Addiction (Substance Use Disorder))
2200 1ST AVE S
MINNEAPOLIS, MN 55404
Hennepin County (612) 767-0309
MISS MARIAN MARGARET SPIESS MA, LADC
Counselor (Professional)
2200 1ST AVE S
MINNEAPOLIS, MN 55404
Hennepin County (612) 235-7335

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 Sam Renneberg's NPI number?

The NPI number for Sam Renneberg is 1164191177. It was assigned to this individual provider in the NPPES registry on September 13, 2021.

Where is Sam Renneberg located?

Sam Renneberg practices at 2200 1st Ave S, Minneapolis, MN 55404. The listed phone number is (612) 235-4590.

What is Sam Renneberg'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 Sam Renneberg was last updated on September 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.