Individual provider Active NPI

Regina B. McClure, LCPC, NCSP

  • Professional Counselor
  • Matteson, IL
National Provider Identifier
1376626200
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
180-0066064 Issued in IL
Practice address
20650 S Cicero Ave Unit 613
Matteson, IL 60443-3424
Phone
(708) 918-3351
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Pastoral Counselor 101YP1600X IL
Cognitive & Behavioral Psychologist 103TB0200X 180006074 IL
School Psychologist 103TS0200X 1035218 IN
School Psychologist 103TS0200X 1911832 IL
Professional Counselor 101YP2500X 180-0066064 IL Primary

Addresses

Primary practice location

20650 S Cicero Ave Unit 613
Matteson, IL 60443-3424

Mailing address

20650 S Cicero Ave Unit 613
Matteson, IL 60443-3424
Phone (872) 228-5434

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

LicenseStateTypeSpecialty
180-0066064ILMDProfessional Counselor
180006074ILMDCognitive & Behavioral Psychologist
1911832ILMDSchool Psychologist
1035218INMDSchool Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Eden Development Network Pastoral CurrentSince Jul 1, 2021 Accepting new patients

Locations

20650 S Cicero Ave
Unit 613
Matteson, IL 60443
Phone (708) 918-3351

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1376626200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20650 S CICERO AVE UNIT 613",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433424",
            "telephone_number": "872-228-5434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20650 S CICERO AVE UNIT 613",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604433424",
            "telephone_number": "708-918-3351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "REGINA",
        "middle_name": "B.",
        "credential": "LCPC, NCSP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "IL",
            "license": "180006074",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IN",
            "license": "1035218",
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": "IL",
            "license": "1911832",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-0066064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matteson, IL

Sources for this page

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

Verify at the official NPI Registry.