Regina P Marsters, LCPC, PHD

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

CC4386 Issued in ME

Practice address

53 County Rd
Gorham, ME 04038

Phone

(207) 400-6767

Fax

(207) 510-0604

NPI assigned

Oct 21, 2010

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

Other names 1

• Dr. Regina Marsters Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1287619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535068800000",
    "number": "1588964720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 BRACKETT RD",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "040381803",
            "telephone_number": "207-400-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 COUNTY RD",
            "city": "GORHAM",
            "state": "ME",
            "postal_code": "04038",
            "telephone_number": "207-400-6767",
            "fax_number": "207-510-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSTERS",
        "first_name": "REGINA",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "LCPC, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-21",
        "last_updated": "2018-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "CC4386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REGINA",
            "last_name": "MARSTERS",
            "prefix": "DR.",
            "credential": "LCPC, PHD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2018; 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.