Regan Whitesell, M. ED.
Individual provider Active NPI Counselor · Wind Gap, PA
NPI 1023558202 · NPPES record last updated Mar 7, 2017
Key facts
- NPI
- 1023558202
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 16 S Broadway
Suite 2
Wind Gap, PA 18091-1431 - Phone
- (610) 863-8151
- NPI assigned
- Mar 7, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinebrook Family Answers | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
16 S Broadway
Suite 2
Wind Gap, PA 18091-1431
Mailing address
16 S Broadway
Suite 2
Wind Gap, PA 18091-1431
Phone (610) 863-8151
Other providers in Wind Gap, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 7, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.