Regina Burrs, LSW

Individual provider Active NPI Mental Health Counselor · Channahon, IL

NPI 1689552168 · NPPES record last updated Aug 23, 2025

Key facts

NPI
1689552168
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
License
150117673 (IL)
Practice address
25224 W Eames St
Channahon, IL 60410-5215
Phone
(815) 467-8181
NPI assigned
Aug 23, 2025
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
150117673ILMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Counseling & Coaching of Illinois, LLC Past
since Aug 25, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 150117673 IL Yes

Addresses

Primary practice location

25224 W Eames St
Channahon, IL 60410-5215

Mailing address

21442 Wynstone Dr
Shorewood, IL 60404-8363
Phone (815) 272-7082

Other providers in Channahon, IL

All providers in Channahon, IL · Mental Health Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.