Regina S Boone, LCSW

Individual provider Active NPI Mental Health Counselor · Apex, NC

NPI 1093654014 · NPPES record last updated Mar 26, 2026

Key facts

NPI
1093654014
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
C007906 (NC)
Practice address
1843 Fahey Dr
Apex, NC 27502-7083
Phone
(919) 619-1140
NPI assigned
Mar 26, 2026
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
C007906NCMDMental Health Counselor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor
Group: 193400000X SINGLE SPECIALTY GROUP
101YM0800X C007906 NC Yes

Addresses

Primary practice location

1843 Fahey Dr
Apex, NC 27502-7083

Mailing address

1843 Fahey Dr
Apex, NC 27502-7083
Phone (919) 619-1140

Other providers in Apex, NC

All providers in Apex, NC · Mental Health Counselor in North Carolina

Sources for this page

Verify at the official NPI Registry.