MS. RENA BETH KORNBLUM MCAT, BC-DMT, DTRL
NPI 1386089555
Counselor - Mental Health in Madison, WI

Q: What is Rena Kornblum's NPI number?

The NPI number for Rena Kornblum is 1386089555. It was assigned to this individual provider in the NPPES registry on May 1, 2013.

Q: What is Rena Kornblum'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 Rena Kornblum was last updated on May 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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 May 01, 2013

16 N HANCOCK ST, MADISON, WI 53703(608) 251-0908(608) 251-0939 Get Directions Write a Review

NPPES record last updated: May 1, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Rena Beth Kornblum Mcat, Bc-dmt, Dtrl NPPES

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

MS. RENA BETH KORNBLUM MCAT, BC-DMT, DTRL (NPI 1386089555) is an individual mental health provider in Madison, Wisconsin, licensed in Wisconsin (2-37) and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1386089555

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMS. RENA BETH KORNBLUMCredential: MCAT, BC-DMT, DTRL

Location Address16 N HANCOCK STMadison, WI 53703-2802

Mailing Address16 N Hancock StMadison, WI 53703-2802 · (608) 251-0908 · Fax (608) 251-0939

Phone(608) 251-0908

Fax(608) 251-0939

Sole ProprietorNo

Enumeration DateMay 1, 2013

✔ NPI 1386089555 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 WI · 2-37

16 N HANCOCK ST, Madison, WI 53703

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Other Providers at the Same Location NPPES 2

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

ROBYN LENDING HALSTEN LPC, BC-DMT, DTRL

Counselor (Mental Health)

16 N HANCOCK ST
MADISON, WI 53703

Dane County (608) 251-0908

MS. JEANINE R KISS MA, BC-DMT, DTRL

Counselor (Mental Health)

16 N HANCOCK ST
MADISON, WI 53703

Dane County (608) 251-0908

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 Rena Kornblum's NPI number?

The NPI number for Rena Kornblum is 1386089555. It was assigned to this individual provider in the NPPES registry on May 1, 2013.

Where is Rena Kornblum located?

Rena Kornblum practices at 16 N Hancock St, Madison, WI 53703. The listed phone number is (608) 251-0908.

What is Rena Kornblum's specialty?

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

When was this NPI record last updated?

The NPPES record for Rena Kornblum was last updated on May 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.