Joseph Regan, B.S

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

2586 12TH PL SE
Salem, OR 97302-2536

Phone

(503) 371-4160

NPI assigned

Jun 19, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

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.

• Creekside Counseling Inc

  • Addiction (Substance Use Disorder) Counselor
  • Salem, OR
  • NPI 1215139720
  NPD (past)
• Creekside Counseling, Inc

  • Community/Behavioral Health Agency
  • Salem, OR
  • NPI 1063757250
  NPD (past)

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

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1043870124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2586 12TH PL SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022536",
            "telephone_number": "503-371-4160",
            "fax_number": "503-371-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2586 12TH PL SE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973022536",
            "telephone_number": "503-371-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGAN",
        "first_name": "JOSEPH",
        "credential": "B.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "receptionatcreeksidecounseling.com",
            "affiliation": "N",
            "address_1": "2586 12th Pl SE",
            "city": "Salem",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973022536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Tiffany A.M. Reed
• Stephanie Nicole Reedy, LMT
• Christina Nicole Reeves
• Reflecting Pool Counseling, LLC
• Carolina Regalado Murillo, MPH
• Regency at Salem, LLC
• Lochlan Uriel Rehbein-Verhoeven
• Wendy Noel Rehfeld, MOTR/L
• Abraham Joel Reichlin, LCSW
• Kay M Reichlin, MD

• Addiction (Substance Use Disorder) Counselor in Salem, OR
• Providers in Salem, OR by specialty
• Addiction (Substance Use Disorder) Counselor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.