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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1164191177

Sam Renneberg, BS, LADC is an Addiction (Substance Use Disorder) Counselor in Minneapolis, Minnesota. Licensed in Minnesota. Registered with an NPI since 2021.

Licensed in
MN
In the registry since
2021
What do these letters mean?
BS — Bachelor of Science
An undergraduate science degree.
LADC — Licensed Alcohol and Drug Counselor
A licensed addiction counsellor.

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Practice location Address checks out

2200 1st Ave S
Minneapolis, MN 55404-3401
Phone: (612) 235-4590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 306080 (MN)

Record details

NPI number1164191177
Entity typeIndividual (Type 1)
GenderMale
Credentials BS , LADC
Sole proprietorNo
NPI enumeratedSeptember 13, 2021
Last updated in NPPESSeptember 13, 2021
Certification dateSeptember 13, 2021

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