THEODORE JOHNATHAN RENARD LADC-I
NPI 1801594528
Counselor - Addiction (Substance Use Disorder) in Marblehead, MA
About Theodore Johnathan Renard Ladc-i NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THEODORE JOHNATHAN RENARD LADC-I (NPI 1801594528) is an individual addiction (substance use disorder) provider in Marblehead, Massachusetts, licensed in Massachusetts (16000) and active in the NPI registry since February 2023. He has opted out of Medicare through May 19, 2028.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Theodore Johnathan Renard Ladc-i has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 19, 2026 through May 19, 2028.
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 Theodore Renard's NPI number?
The NPI number for Theodore Renard is 1801594528. It was assigned to this individual provider in the NPPES registry on February 21, 2023.
Where is Theodore Renard located?
Theodore Renard practices at 118 Pleasant St Ste 22B, Marblehead, MA 01945. The listed phone number is (617) 680-4094.
What is Theodore Renard's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.
Is Theodore Renard enrolled in Medicare?
No. Theodore Renard has opted out of Medicare through May 19, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.
What insurance does Theodore Renard accept?
Health plans from Anthem Blue Cross and Blue Shield and Harvard Pilgrim Health Care list Theodore Renard as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Theodore Renard was last updated on February 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Theodore Johnathan Renard, LADC-I · NPI 1801594528
Addiction (Substance Use Disorder) provider in Marblehead, Massachusetts. Individual provider, active in the CMS NPPES registry since February 21, 2023.
## Identity
- **NPI:** 1801594528 (Entity type: Individual)
- **Enumerated:** February 21, 2023
- **Primary specialty:** Counselor - Addiction (Substance Use Disorder) · taxonomy 101YA0400X
- **State license:** 16000 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 118 PLEASANT ST STE 22B, Marblehead, MA 01945-2344
- **Phone:** (617) 680-4094
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 19, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** February 21, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1801594528) · Data from the CMS NPPES public registry.