Active NPI
Regan Paulsen, LPC
- Professional Counselor
- Dallas, TX
National Provider Identifier
1407372147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 73777
- Practice address
- 4144 N. Central Expressway 955
955
Dallas, TX 75204 - Phone
- (214) 770-5198
- NPI assigned
- Aug 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 73777 | TX | Primary |
Addresses
Primary practice location
4144 N. Central Expressway 955
955
Dallas, TX 75204
Mailing address
3839 Briargrove LN Apt 9208
Dallas, TX 75287-6384
Phone (214) 770-5198
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 17, 2024 through Oct 17, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 73777 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502755200000",
"number": "1407372147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3839 BRIARGROVE LN APT 9208",
"city": "DALLAS",
"state": "TX",
"postal_code": "752876384",
"telephone_number": "214-770-5198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4144 N. CENTRAL EXPRESSWAY 955",
"address_2": "955",
"city": "DALLAS",
"state": "TX",
"postal_code": "75204",
"telephone_number": "214-770-5198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAULSEN",
"first_name": "REGAN",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-15",
"last_updated": "2017-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "73777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.