MRS. SAMANTHA RENNER MS, LMHC
NPI 1174993802
Counselor - Mental Health in Spokane, WA

Q: What is Samantha Renner's NPI number?

The NPI number for Samantha Renner is 1174993802. It was assigned to this individual provider in the NPPES registry on October 7, 2015. The provider is also known as Samantha Martell.

Q: What is Samantha Renner's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Renner was last updated on March 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 07, 2015PECOS EnrolledAccepts Medicare Assignment

3754 W INDIAN TRAIL RD, SPOKANE, WA 99208(509) 866-4112(509) 588-7437 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Mrs. Samantha Renner Ms, Lmhc NPPES

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

MRS. SAMANTHA RENNER MS, LMHC (NPI 1174993802) is an individual mental health provider in Spokane, Washington, licensed in Washington (LH60476471) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, maintains a secondary practice location in Spokane, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1174993802

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMRS. SAMANTHA RENNERCredential: MS, LMHC

Location Address3754 W INDIAN TRAIL RDSpokane, WA 99208-4736

Mailing Address3754 W Indian Trail RdSpokane, WA 99208-4736 · (509) 866-4112 · Fax (509) 588-7437

Phone(509) 866-4112

Fax(509) 588-7437

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateOctober 7, 2015

Last NPPES UpdateMarch 18, 2024

NPPES CertifiedMarch 18, 2024

✔ NPI 1174993802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in WA · LH60476471

3754 W INDIAN TRAIL RD, Spokane, WA 99208

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Other Names 1

Former Name (1)Samantha Martell

Secondary Practice Location 1

Location 1906 W 2nd AveSpokane, WA 99201-4538 · Phone (509) 458-5889 ext. 114

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.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

Mrs. Samantha Renner Ms, Lmhc 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.

PECOS PAC ID2365880176

PECOS Enrollment IDI20240328004012

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

ANTONIO RAMIREZ RAMIREZ LCSWA

Social Worker