Active NPI
Regina B. McClure, LCPC, NCSP
- Professional Counselor
- Matteson, IL
National Provider Identifier
1376626200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 180-0066064
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 180-0066064 | IL | MD | Professional Counselor |
| 180006074 | IL | MD | Cognitive & Behavioral Psychologist |
| 1911832 | IL | MD | School Psychologist |
| 1035218 | IN | MD | School Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eden Development Network | Pastoral | Current | 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.