Individual provider Active NPI

Janene Regier, LPCC

  • Professional Counselor
  • Burnsville, MN
National Provider Identifier
1659936458
Registry record updated May 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
CC000174 Issued in MN
Practice address
14551 Judicial Rd
Burnsville, MN 55306-4841
Phone
(952) 898-5020
NPI assigned
May 7, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X CC000174 MN Primary

Addresses

Primary practice location

14551 Judicial Rd
Burnsville, MN 55306-4841

Mailing address

14551 Judicial Rd
Burnsville, MN 55306-4841
Phone (952) 898-5020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240514004132 MN Practitioner - Mental Health Counselor 6103267638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Bushman Psychological Services LLCGroup PAC ID 8820994668, 11 clinicians

Practice addresses (Care Compare)

14551 Judicial Rd
Suite 100
Burnsville, MN 55306-4991
Phone (952) 898-5020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CC000174MNMDProfessional Counselor
174MNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bushman Psychological Services LLC CurrentSince Mar 16, 2024 Accepting new patients

Locations

14551 Judicial Rd
Ste 100
Burnsville, MN 55306
Phone (952) 898-5020

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": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557187200000",
    "number": "1659936458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14551 JUDICIAL RD",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553064841",
            "telephone_number": "952-898-5020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14551 JUDICIAL RD",
            "city": "BURNSVILLE",
            "state": "MN",
            "postal_code": "553064841",
            "telephone_number": "952-898-5020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGIER",
        "first_name": "JANENE",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2019-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MN",
            "license": "CC000174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, MN

Sources for this page

Verify at the official NPI Registry.