Individual provider Active NPI

Regina W. Brown, LCPC, CRC

  • Professional Counselor
  • Baltimore, MD
National Provider Identifier
1518326396
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC6875 Issued in MD
Practice address
6665 Security Blvd
Baltimore, MD 21207-4018
Phone
(410) 265-7291
Fax
(410) 265-7294
NPI assigned
Feb 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 00115373 MD
Professional Counselor 101YP2500X LC6875 MD Primary

Addresses

Primary practice location

6665 Security Blvd
Baltimore, MD 21207-4018

Mailing address

6665 Security Blvd
Baltimore, MD 21207-4018
Phone (410) 265-7291

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
00115373MDMDCounselor
LC6875MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
MSBC Five Star Program Inc Professional Past Accepting new patients

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": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1518326396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6665 SECURITY BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212074018",
            "telephone_number": "410-265-7291",
            "fax_number": "410-265-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6665 SECURITY BLVD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212074018",
            "telephone_number": "410-265-7291",
            "fax_number": "410-265-7294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "REGINA",
        "middle_name": "W.",
        "name_prefix": "Mrs.",
        "credential": "LCPC, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-22",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "00115373",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC6875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.