RENA SUSAN DEREZIN M.A., L.P.C., N.C.C.
NPI 1790923670
Counselor - Professional in Black Hawk, CO

Q: What is Rena Derezin's NPI number?

The NPI number for Rena Derezin is 1790923670. It was assigned to this individual provider in the NPPES registry on January 30, 2009.

Q: What is Rena Derezin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Q: When was this NPI record last updated?

The NPPES record for Rena Derezin was last updated on August 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 January 30, 2009

135 CLEAR CREEK STREET, BLACK HAWK, CO 80422(303) 807-2750 Get Directions Write a Review

NPPES record last updated: August 25, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Rena Susan Derezin M.a., L.p.c., N.c.c. NPPES

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

RENA SUSAN DEREZIN M.A., L.P.C., N.C.C. (NPI 1790923670) is an individual professional provider in Black Hawk, Colorado, licensed in Colorado (5066) and active in the NPI registry since January 2009.

NPPES Registry Identity

NPI1790923670

Entity TypeIndividualFemale

Primary Taxonomy101YP2500X

Provider Legal NameRENA SUSAN DEREZINCredential: M.A., L.P.C., N.C.C.

Location Address135 CLEAR CREEK STREETBlack Hawk, CO 80422-0418

Mailing AddressPo Box 139Silverthorne, CO 80498-0139 · (303) 807-2750

Phone(303) 807-2750

Sole ProprietorYes

Enumeration DateJanuary 30, 2009

Last NPPES UpdateAugust 25, 2009

✔ NPI 1790923670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers

Taxonomy Code101YP2500X

License✔ Licensed in CO · 5066

135 CLEAR CREEK STREET, Black Hawk, CO 80422

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Other Providers at the Same Location NPPES

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

HEATHER KUDER

Chiropractor

135 CLEAR CREEK STREET
BLACK HAWK, CO 80422

Gilpin County (303) 582-9205

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 Derezin's NPI number?

The NPI number for Rena Derezin is 1790923670. It was assigned to this individual provider in the NPPES registry on January 30, 2009.

Where is Rena Derezin located?

Rena Derezin practices at 135 Clear Creek Street, Black Hawk, CO 80422. The listed phone number is (303) 807-2750.

What is Rena Derezin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Rena Derezin was last updated on August 25, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.