Regeneration Wellness LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

REGENERATION WELLNESS LLC

Practice address

1909 E Bennett St Ste 104
Springfield, MO 65804-1400

Phone

(417) 231-5723

NPI assigned

Jun 5, 2026

Last updated

Jun 5, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lisa Grim, LPCNPI 1770149551

Title

Owner

Phone

(417) 231-5723

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lisa R Grim, LPC

  • Professional Counselor
  • Springfield, MO
  • NPI 1770149551

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1780617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780617600000",
    "number": "1265365530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 N OAK GROVE AVE",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658022367",
            "telephone_number": "417-231-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1909 E BENNETT ST STE 104",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658041400",
            "telephone_number": "417-231-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATION WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-05",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A",
        "authorized_official_last_name": "GRIM",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "417-231-5723",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Renee Reeves, LMSW
• Joshua Reeves, LPC
• Lacy Reeves, M.D.
• Refined Physical Therapy
• Reflex Chiropractic & Acupuncture, PC
• Christopher M Regier, CRNA
• Regional Care of Springfield East, LLC (Christian Health and Rehabilitation of Springfield East)
• Regional Care of Springfield West Park, LLC (Brookhaven Health and Rehabilitation)
• Regional Care of Springfield West, LLC (Westside Health Care)
• Regional Services (Cox Senior Health Center South)

• Mental Health Counselor in Springfield, MO
• Providers in Springfield, MO by specialty
• Mental Health Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; 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.