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

MS. Rena Beth Kornblum, MCAT, BC-DMT, DTRL

Individual provider Mental Health Counselor · NPI 1386089555

MS. Rena Beth Kornblum, MCAT, BC-DMT, DTRL is a Mental Health Counselor in Madison, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2013.

Licensed in
WI
In the registry since
2013

Practice location Address checks out

16 N Hancock St
Madison, WI 53703-2802
Phone: (608) 251-0908
Fax: (608) 251-0939
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 2-37 (WI)

Record details

NPI number1386089555
Entity typeIndividual (Type 1)
GenderFemale
Credentials MCAT , BC-DMT , DTRL
Sole proprietorNo
NPI enumeratedMay 1, 2013
Last updated in NPPESMay 1, 2013

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