Regina Penn, MS, LPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

11436-125 Issued in WI

Practice address

6650 W State St Ste D-188
Wauwatosa, WI 53213-2827

Phone

(414) 667-7575

NPI assigned

Jul 31, 2021

Last updated

Nov 26, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in WI

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.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Comprehensive Counseling ServicesGroup PAC ID 9234164153, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Comprehensive Counseling Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Port Washington, WI
  • NPI 1881600807
  Medicare reassignment Care Compare group NPD
• Lighthouse Clinic

  dba LHC Aquisitions, LLC

  • Psychologist
  • Milwaukee, WI
  • NPI 1912216219

  Professional

  NPD (past)
• R.E.a.C.H. Inc. Comprehensive Mental Health Clinic

  • Community/Behavioral Health Agency
  • Glendale, WI
  • NPI 1144555152
  NPD (past)

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

{
    "created_epoch": "1627689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1326711607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6650 W STATE ST STE D-188",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132827",
            "telephone_number": "414-667-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6650 W STATE ST STE D-188",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532132827",
            "telephone_number": "414-667-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENN",
        "first_name": "REGINA",
        "credential": "MS, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-31",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "11436-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Frank Pechloff Jr., DDS
• Dean Pecor
• Pediatric Psychology Associates LLC (Autism Behavioral Network)
• Pediatric Rehabilitation Medicine Associates,LLC
• Kelsey Paige Pendleton
• Joahne C Penney, LPN
• Jolanta Pentala, MD
• Amy Lynn Pepe
• Melvin Byron Pepper, PA-C
• Andres Peralta-Werns, DC

• Professional Counselor in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Professional Counselor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.