Kely McConnell Regan

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

94166 8TH St
Gold Beach, OR 97444-7747

Phone

(541) 425-5502

NPI assigned

Mar 31, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Curry Child Abuse Intervention Center

  • Clinic/Center
  • Gold Beach, OR
  • NPI 1730689811
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1003511973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1845",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974441845",
            "telephone_number": "541-425-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94166 8TH ST",
            "city": "GOLD BEACH",
            "state": "OR",
            "postal_code": "974447747",
            "telephone_number": "541-425-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCONNELL REGAN",
        "first_name": "KELY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maciey J Druzdzel MD PC
• Mahant LLC
• Bob Manners, DC
• William Marshall
• Jennifer Martino
• Shilo Marie McKenzie, CNMNP
• Alyssa Ashley McNair
• Barbara Lynne Meininger, LCSW
• Metasequoia Emergency Physicians, LLC
• Agnieszka Mglej Kemp

• Mental Health Counselor in Gold Beach, OR
• Providers in Gold Beach, OR by specialty
• Mental Health Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.