KEREEN RENNIS – Mental Health Counselor, NPI 1215330428

KEREEN RENNIS is a healthcare provider. based in Springfield, Massachusetts. specializing in MENTAL HEALTH COUNSELOR. The NPI Number for KEREEN RENNIS is 1215330428

Main info

Female
11 Years Of Experience
Accepts Medicare Assignment
Name
KEREEN RENNIS
NPI
1215330428
Phone
(413) 221-6285
Address
19 GOLD ST
Enumeration Date
1 October 2014
Last Update Date
1 October 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4137746252
Graduation Year
2015 (11 years ago)
PAC ID
4981049657
Group Practice PAC ID
7618950874
Professional Enrollment ID
I20240304003473
Address ID
MA013013275GR102XXSTXX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:11State licenses:0Digital endpointsOther names

2,116 MENTAL HEALTH COUNSELOR in MA

Provider Addresses for KEREEN RENNIS

  • 19 GOLD ST

    SPRINGFIELD, MA 011071324

    Phone: (413) 221-6285

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-03-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240304003473IMental Health CounselorMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 01107)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618950874View full group profile
NameSpecialtyState
Nurse PractitionerMA
-MA
-MA
Clinical Social WorkerMA
Mental Health CounselorMA
Mental Health CounselorMA
Mental Health CounselorMA
Clinical Social WorkerMA
Marriage And Family TherapistMA
-MA

Reviews

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Frequently asked questions

Does KEREEN RENNIS have a public NPI I can cite?
Public records show KEREEN RENNIS under NPI 1215330428.
Quick check: is KEREEN RENNIS active?
Public NPPES data shows KEREEN RENNIS with an active NPI status right now.
What services align with KEREEN RENNIS's listing?
KEREEN RENNIS's public classification highlights Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KEREEN RENNIS?
KEREEN RENNIS is associated with Springfield, Massachusetts in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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