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AMANDA JANE RENNOLET MA, LMHC
NPI 1750779732
Counselor - Mental Health in Clive, IA

Active since December 29, 2014PECOS EnrolledAccepts Medicare Assignment
12247 STRATFORD DR, CLIVE, IA 50325(515) 393-6702 Get Directions Write a Review

NPPES record last updated: December 27, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amanda Jane Rennolet Ma, Lmhc NPPES

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

AMANDA JANE RENNOLET MA, LMHC (NPI 1750779732) is an individual mental health provider in Clive, Iowa, licensed in Iowa (082255) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1750779732
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMANDA JANE RENNOLETCredential: MA, LMHC
Location Address12247 STRATFORD DRClive, IA 50325-8147
Mailing Address12247 Stratford DrClive, IA 50325-8147 · (515) 393-6702
Phone(515) 393-6702
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 29, 2014
Last NPPES UpdateDecember 27, 2023
NPPES CertifiedDecember 27, 2023
✔ NPI 1750779732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in IA · 082255✔ Licensed in NE · 10474
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License P-1214 (NE)
12247 STRATFORD DR, Clive, IA 50325
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Jane Rennolet Ma, 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 ID2769833409
PECOS Enrollment IDI20240108003385
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.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Rennolet reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Better Days Mental Health PC
Same address
Mental Health
12247 STRATFORD DR
Clive, IA 50325
  • Reassigned Medicare billing, Iowa enrollment
  • 20 clinicians in this Medicare group
NPI 1417653650 (515) 393-6702

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 14

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

AMANDA LEE JOHNSON LMSW
Counselor (Mental Health)
12247 STRATFORD DR
CLIVE, IA 50325
Polk County (803) 636-7506
KATE BELL MSW, LISW
Social Worker (Clinical)
12247 STRATFORD DR
CLIVE, IA 50325
Polk County (515) 393-6702
TORRI MADISON JOHNSON LISW
Social Worker (Clinical)
12247 STRATFORD DR
CLIVE, IA 50325
Polk County (515) 732-8020
NICHOLE VAN DYKE
Social Worker
12247 STRATFORD DR
CLIVE, IA 50325
Polk County (515) 393-6702
DR. ESTHER HUSTON ARNP PMHNP-BC
Psychiatry & Neurology (Psychiatry)
12247 STRATFORD DR
CLIVE, IA 50325
Polk County (515) 212-2091
SAMANTHA J FLODIN LMSW
Social Worker (Clinical)
12247 STRATFORD DR
CLIVE, IA 50325
Polk County (515) 393-6702
BETTER DAYS MENTAL HEALTH PC
Counselor (Mental Health)
12247 STRATFORD DR
CLIVE, IA 50325
Polk County (515) 393-6702
ELLEN JO MILLER TLMHC
Counselor (Mental Health)
12247 STRATFORD DR
CLIVE, IA 50325
Polk County (515) 212-3568

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 Amanda Rennolet's NPI number?

The NPI number for Amanda Rennolet is 1750779732. It was assigned to this individual provider in the NPPES registry on December 29, 2014.

Where is Amanda Rennolet located?

Amanda Rennolet practices at 12247 Stratford Dr, Clive, IA 50325. The listed phone number is (515) 393-6702.

What is Amanda Rennolet's specialty?

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

Is Amanda Rennolet enrolled in Medicare?

Yes. Amanda Rennolet 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.

Which organization bills Medicare for Amanda Rennolet's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Rennolet reassigns Medicare benefits to Better Days Mental Health PC (Clive, IA). 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 Amanda Rennolet'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 Amanda Rennolet was last updated on December 27, 2023. 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.