Jennifer Ashley Regan, LICSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

DP00945023 Issued in WV

Practice address

1017 6TH Ave Ste 11
Huntington, WV 25701-2348

Phone

(681) 378-2134

NPI assigned

May 22, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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 and National Provider Directory roles.

• Fit Mind Wellness Center, LLC

  dba Fit Mind

  • Social Worker
  • Huntington, WV
  • NPI 1952889305
  NPD Authorized official

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

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1568808137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 6TH AVE STE 11",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012348",
            "telephone_number": "681-378-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 6TH AVE STE 11",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012348",
            "telephone_number": "681-378-2134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGAN",
        "first_name": "JENNIFER",
        "middle_name": "ASHLEY",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-22",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "DP00945023",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "SC",
            "license": "10209",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashleigh Reedy, LSW
• Ian Vann Reedy
• Kaitlin Reep
• Kimberly Dawn Reese
• Heather Nicole Reeves, DO
• Sarah Reger
• Sally Lue Reggel Oakes, M.D.
• Haylee Reggi
• John Edward Reid, AUD, CCC-A
• Reliable Relief Home Healthcare, LLC.

• Social Worker in Huntington, WV
• Providers in Huntington, WV by specialty
• Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2019; 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.