Active NPI
Reginald Georgia, MS.ED., LPC, NCC
- Professional Counselor
- Chicago, IL
National Provider Identifier
1225722846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 178021059
- Practice address
- 957 E 62ND St Apt 301
Chicago, IL 60637-3633 - Phone
- (224) 577-9188
- NPI assigned
- Jun 6, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 88001980A | IN | |
| Professional Counselor | 101YP2500X | 178021059 | IL | Primary |
Addresses
Primary practice location
957 E 62ND St Apt 301
Chicago, IL 60637-3633
Mailing address
7951 Calumet Ave # 1042
Munster, IN 46321-1215
Phone (708) 669-6062
Other practice location 1
7951 Calumet Ave # 1042
Munster, IN 46321-1215
Phone (708) 669-6062
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 |
|---|---|---|---|
| 88001980A | IN | MD | Counselor |
| 178021059 | IL | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764720000000",
"number": "1225722846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7951 CALUMET AVE # 1042",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463211215",
"telephone_number": "708-669-6062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "957 E 62ND ST APT 301",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606373633",
"telephone_number": "224-577-9188"
}
],
"practiceLocations": [
{
"address_1": "7951 Calumet Ave # 1042",
"address_purpose": "LOCATION",
"city": "Munster",
"state": "IN",
"postal_code": "463211215",
"country_code": "US",
"telephone_number": "708-669-6062",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GEORGIA",
"first_name": "REGINALD",
"name_prefix": "Mr.",
"credential": "MS.ED., LPC, NCC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-06-06",
"last_updated": "2025-12-03",
"certification_date": "2025-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "IN",
"license": "88001980A",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "178021059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.