Individual provider Active NPI

Regina Jane Johnson, LPCMH

  • Professional Counselor
  • Wilmington, DE
National Provider Identifier
1134645583
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC0000794 Issued in DE
Practice address
1825 Faulkland Rd
Wilmington, DE 19805-1121
Phone
(302) 633-2572
NPI assigned
Aug 17, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 PC0000794 DE Primary

Addresses

Primary practice location

1825 Faulkland Rd
Wilmington, DE 19805-1121

Mailing address

5 Richard Rd
New Castle, DE 19720-1729
Phone (302) 983-6173

Other practice location 1

5 Richard Rd
New Castle, DE 19720-1729
Phone (302) 983-6173

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
PC0000794DEMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
State of Delaware Dscyf 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1134645583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 RICHARD RD",
            "city": "NEW CASTLE",
            "state": "DE",
            "postal_code": "197201729",
            "telephone_number": "302-983-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 FAULKLAND RD",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198051121",
            "telephone_number": "302-633-2572"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Richard Rd",
            "address_purpose": "LOCATION",
            "city": "New Castle",
            "state": "DE",
            "postal_code": "197201729",
            "country_code": "US",
            "telephone_number": "302-983-6173",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "REGINA",
        "middle_name": "JANE",
        "credential": "LPCMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "DE",
            "license": "PC0000794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.