Individual provider Active NPI

Regina M Lindner, MFT

  • Marriage & Family Therapist
  • Henderson, NV
National Provider Identifier
1013113612
Registry record updated Nov 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
93 Fantasia LN
Henderson, NV 89074-3325
Phone
(714) 929-9054
NPI assigned
Jun 21, 2007
Last updated
Nov 25, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 36033 CA
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

93 Fantasia LN
Henderson, NV 89074-3325

Mailing address

93 Fantasia LN
Henderson, NV 89074-3325
Phone (714) 929-9054

Other practice location 1

14240 Imperial Hwy
LA Mirada, CA 90638-1940
Phone (562) 946-1587

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36033CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543104000000",
    "number": "1013113612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 FANTASIA LN",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890743325",
            "telephone_number": "714-929-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 FANTASIA LN",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890743325",
            "telephone_number": "714-929-9054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14240 Imperial Hwy",
            "address_purpose": "LOCATION",
            "city": "LA Mirada",
            "state": "CA",
            "postal_code": "906381940",
            "country_code": "US",
            "telephone_number": "562-946-1587",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LINDNER",
        "first_name": "REGINA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2018-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "36033",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.