Reagan Carey, MS

Primary specialty

Behavior AnalystTaxonomy code 103K00000X

Practice address

914 17TH St
Charleston, IL 61920-2917

Phone

(708) 995-5786

NPI assigned

Oct 13, 2021

Last updated

Oct 13, 2021By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• CTF Illinois

  dba ACCESS Behavioral Health

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charleston, IL
  • NPI 1437733979
  NPD

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1417619768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 14TH ST",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619202911",
            "telephone_number": "217-218-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 17TH ST",
            "city": "CHARLESTON",
            "state": "IL",
            "postal_code": "619202917",
            "telephone_number": "708-995-5786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAREY",
        "first_name": "REAGAN",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Michelle Bulthouse, M.S., LCPC
• John H Bulthouse Jr.
• Teresa A Byars Patterson, MS
• April C Callaway
• Bryan K Callaway, FNP
• Christine Marie Carrell, MS, LPC
• Rachel Carson
• Jennifer Carter-Alvis
• Ccar Industries
• Central East Alcoholism and Drug Council

• Behavior Analyst in Charleston, IL
• Providers in Charleston, IL by specialty
• Behavior Analyst in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.