Individual provider Active NPI

Regi Corbie, LCMFT

  • Marriage & Family Therapist
  • Takoma Park, MD
National Provider Identifier
1114649241
Registry record updated Oct 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LCM1044 Issued in MD
Practice address
6916 New Hampshire Ave
Takoma Park, MD 20912-5819
Phone
(301) 471-5141
NPI assigned
Sep 15, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LGM902 MD
Marriage & Family Therapist 106H00000X LCM1044 MD Primary

Addresses

Primary practice location

6916 New Hampshire Ave
Takoma Park, MD 20912-5819

Mailing address

6916 New Hampshire Ave
Takoma Park, MD 20912-5819
Phone (301) 471-5141

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@eunoiarooted.com REC COUNSELING, LLC

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
LCM1044MDMDMarriage & Family Therapist
LGM902MDMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1114649241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6916 NEW HAMPSHIRE AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209125819",
            "telephone_number": "301-471-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6916 NEW HAMPSHIRE AVE",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209125819",
            "telephone_number": "301-471-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORBIE",
        "first_name": "REGI",
        "name_prefix": "Mr.",
        "credential": "LCMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-09-15",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "LGM902",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MD",
            "license": "LCM1044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@eunoiarooted.com",
            "affiliation": "Y",
            "endpointDescription": "Business email",
            "affiliationName": "REC COUNSELING, LLC",
            "address_1": "6916 New Hampshire Ave",
            "city": "Takoma Park",
            "state": "MD",
            "country_code": "US",
            "postal_code": "209125819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; 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.