Regina Dawn Brumfield, PRSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

1235 6TH Ave
Huntington, WV 25701-2311

Phone

(681) 432-0600

Fax

(681) 432-0601

NPI assigned

Sep 12, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• Lilys Place Family Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Huntington, WV
  • NPI 1689288813
  NPD

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1184346769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 WILSON ST",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257051152",
            "telephone_number": "304-360-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 6TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012311",
            "telephone_number": "681-432-0600",
            "fax_number": "681-432-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUMFIELD",
        "first_name": "REGINA",
        "middle_name": "DAWN",
        "credential": "PRSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-12",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie L Bruer
• Addam H Brumfield
• Carlos Eugene Brumfield Jr.
• Clay Brumfield
• Griffin Brumfield
• Sara Jane Brumfield
• Joshua Brunetti
• Cortney Bryan
• Donna Michelle Bryan, BA
• Mariah Bryan

• Peer Specialist in Huntington, WV
• Providers in Huntington, WV by specialty
• Peer Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.