Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jenny Renville, DHA, MA, LCMHCA, NCC

Individual provider Counselor · NPI 1124670500

Jenny Renville, DHA, MA, LCMHCA, NCC is a Mental Health Counselor in Waxhaw, North Carolina. Graduated from Liberty Univ College of Osteopathic Medicine in 2020, 6 years ago. Practices with Presbyterian Samaritan Counseling Center, a 6-clinician group and accepts Medicare assignment. Licensed in North Carolina and South Carolina.

Years since qualifying
6
Trained at
Liberty Univ College of Osteopathic Medicine
Licensed in
NC, SC
In the registry since
2019
Specialties on file
5
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
NCC — National Certified Counselor
A counsellor certified by the NBCC.

See every abbreviation used in this directory →

Practice location Address checks out

104 Waxhaw Professional Park Dr Ste D
Waxhaw, NC 28173-5020
Phone: (704) 277-9009
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence A16484 (NC)
Counselor Taxonomy 101Y00000X · Licence A16484 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence 16481 (NC)
Mental Health Counselor Taxonomy 101YM0800X · Licence A16484 (NC)
Professional Counselor Taxonomy 101YP2500X · Licence 11794 (SC)

Record details

NPI number1124670500
Entity typeIndividual (Type 1)
GenderFemale
Credentials DHA , MA , LCMHCA , NCC
Sole proprietorYes
NPI enumeratedJuly 15, 2019
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolLIBERTY UNIV COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2020 (6 years in practice)
Group practice Presbyterian Samaritan Counseling Center — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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