Individual provider Active NPI

Maura Cristin Reagan, MA, LMHCA, R-DMT

  • Mental Health Counselor
  • Bellevue, WA
National Provider Identifier
1184193179
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MC60885895 Issued in WA
Practice address
2002 156TH Ave NE
Bellevue, WA 98007-3827
Phone
(800) 682-6934
NPI assigned
Nov 19, 2018
Last updated
Nov 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MC60885895 WA Primary
Dance Therapist 225600000X R-DMT-2346 IL

Addresses

Primary practice location

2002 156TH Ave NE
Bellevue, WA 98007-3827

Mailing address

600 Elliott Ave W Apt 415
Seattle, WA 98119-4080
Phone (847) 284-0790

Other names 1

  • Ms. Maura Cristin Reagan Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 24, 2024 through Jan 24, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MC60885895WAMDMental Health Counselor
R-DMT-2346ILMDDance Therapist

NPI Registry JSON

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1184193179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 ELLIOTT AVE W APT 415",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981194080",
            "telephone_number": "847-284-0790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2002 156TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980073827",
            "telephone_number": "800-682-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAGAN",
        "first_name": "MAURA",
        "middle_name": "CRISTIN",
        "name_prefix": "Ms.",
        "credential": "MA, LMHCA, R-DMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-19",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "MC60885895",
            "primary": true
        },
        {
            "code": "225600000X",
            "taxonomy_group": "",
            "desc": "Dance Therapist",
            "state": "IL",
            "license": "R-DMT-2346",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAURA",
            "last_name": "REAGAN",
            "middle_name": "CRISTIN",
            "prefix": "MS.",
            "credential": "MA, LMHCA, R-DMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

Verify at the official NPI Registry.