Sam Renneberg, BS, LADC
NPI 1164191177 · Addiction (Substance Use Disorder) Counselor · Minneapolis, MN
Sam Renneberg, BS, LADC is a Addiction (Substance Use Disorder) Counselor provider in Minneapolis, MN (NPI 1164191177).
Provider details
- NPI number
- 1164191177
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Credential
- BS, LADC
- Sex
- Male
- Sole proprietor
- No
- License
- 306080 (MN)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-09-13
- Last updated
- 2021-09-13
- Certified
- 2021-09-13
Frequently asked questions
- What is Sam Renneberg's NPI number?
- Sam Renneberg's National Provider Identifier (NPI) is 1164191177, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Sam Renneberg's specialty?
- Sam Renneberg is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Sam Renneberg located?
- Sam Renneberg's practice location on file with NPPES is 2200 1st Ave S, Minneapolis, MN 55404-3401.
- What is Sam Renneberg's phone number?
- The practice phone number listed in the NPPES registry for Sam Renneberg is (612) 235-4590.
- Is Sam Renneberg's NPI active?
- Yes — Sam Renneberg's NPI (1164191177) is active in the NPPES registry as of the last update on 2021-09-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.