Individual provider Active NPI

Regina Sewell, LMHC, PCC

  • Mental Health Counselor
  • Hopewell Junction, NY
National Provider Identifier
1396084000
Registry record updated Feb 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
005237-1 Issued in NY
Practice address
91 Broadway
Hopewell Junction, NY 12533-5726
Phone
(845) 264-2287
Fax
(845) 592-2335
NPI assigned
Feb 1, 2013
Last updated
Feb 20, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 005237-1 NY Primary

Addresses

Primary practice location

91 Broadway
Hopewell Junction, NY 12533-5726

Mailing address

91 Broadway
Hopewell Junction, NY 12533-5726
Phone (845) 264-2287

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240522000250 NY Practitioner - Mental Health Counselor 1759723828 Practice locations: Hopewell Junction, NY

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005237-1NYMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392854400000",
    "number": "1396084000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 BROADWAY",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125335726",
            "telephone_number": "845-264-2287",
            "fax_number": "845-592-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 BROADWAY",
            "city": "HOPEWELL JUNCTION",
            "state": "NY",
            "postal_code": "125335726",
            "telephone_number": "845-264-2287",
            "fax_number": "845-592-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEWELL",
        "first_name": "REGINA",
        "credential": "LMHC, PCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-01",
        "last_updated": "2014-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "005237-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopewell Junction, NY

Sources for this page

Verify at the official NPI Registry.