BETHANY RENSTROM CCC-SLP
NPI 1619177946
Speech-Language Pathologist in Rochester, MN
About Bethany Renstrom Ccc-slp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETHANY RENSTROM CCC-SLP (NPI 1619177946) is an individual speech-language pathologist provider in Rochester, Minnesota, licensed in Minnesota (8209) and active in the NPI registry since July 2007.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Bethany Renstrom Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Bethany Renstrom reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Rochester, MN 55906
- Reassigned Medicare billing, Minnesota enrollment
- 2 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Bethany Renstrom's NPI number?
The NPI number for Bethany Renstrom is 1619177946. It was assigned to this individual provider in the NPPES registry on July 24, 2007.
Where is Bethany Renstrom located?
Bethany Renstrom practices at 6126 Jonathan Ln NW, Rochester, MN 55901. The listed phone number is (651) 335-8159.
What is Bethany Renstrom's specialty?
The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.
Is Bethany Renstrom enrolled in Medicare?
Yes. Bethany Renstrom is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Bethany Renstrom's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bethany Renstrom reassigns Medicare benefits to A Sounding Therapy, LLC (Rochester, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bethany Renstrom's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Bethany Renstrom was last updated on April 2, 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.
# Bethany Renstrom, CCC-SLP · NPI 1619177946
Speech-Language Pathologist provider in Rochester, Minnesota. Individual provider, active in the CMS NPPES registry since July 24, 2007.
## Identity
- **NPI:** 1619177946 (Entity type: Individual)
- **Enumerated:** July 24, 2007
- **Primary specialty:** Speech-Language Pathologist · taxonomy 235Z00000X
- **State license:** 8209 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 6126 JONATHAN LN NW, Rochester, MN 55901-5545
- **Phone:** (651) 335-8159
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** A Sounding Therapy, LLC (NPI 1497535405, Rochester, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1619177946) · Data from the CMS NPPES public registry.