Active NPI
Regina L Nay, LMHC
- Mental Health Counselor
- St Petersburg, FL
National Provider Identifier
1124330527
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 9655
- Practice address
- 695 Central Ave Ste 278
St Petersburg, FL 33701-3669 - Phone
- (305) 431-4242
- NPI assigned
- Jul 14, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH 9655 | FL | Primary |
Addresses
Primary practice location
695 Central Ave Ste 278
St Petersburg, FL 33701-3669
Mailing address
695 Central Ave Ste 278
St Petersburg, FL 33701-3669
Phone (305) 431-4242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003043100 | Medicaid | FL |
Other names 1
- Mrs. Regina Main-Baillie
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH 9655 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empower Your Energy LLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Counselor
- St Petersburg, FL
- NPI 1114437639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507680000000",
"number": "1124330527",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "695 CENTRAL AVE STE 278",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337013669",
"telephone_number": "305-431-4242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 CENTRAL AVE STE 278",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337013669",
"telephone_number": "305-431-4242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAY",
"first_name": "REGINA",
"middle_name": "L",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-14",
"last_updated": "2017-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 9655",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003043100",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REGINA",
"last_name": "MAIN-BAILLIE",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.