Individual provider Active NPI

Regina Buccello-Stout, LPC

  • Professional Counselor
  • Bellaire, TX
National Provider Identifier
1043826548
Registry record updated Sep 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
75214 Issued in TX
Practice address
5909 West Loop S
Bellaire, TX 77401-2402
Phone
(713) 591-3612
NPI assigned
Sep 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 75214 TX Primary

Addresses

Primary practice location

5909 West Loop S
Bellaire, TX 77401-2402

Mailing address

10127 Deerpark Dr
Missouri City, TX 77459-7341
Phone (832) 978-5199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
75214TXMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1600560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600560000000",
    "number": "1043826548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10127 DEERPARK DR",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774597341",
            "telephone_number": "832-978-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5909 WEST LOOP S",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012402",
            "telephone_number": "713-591-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCCELLO-STOUT",
        "first_name": "REGINA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-20",
        "last_updated": "2020-09-20",
        "certification_date": "2020-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2020; 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.