Regan J Banks, MS ED
Individual provider Active NPI Mental Health Counselor · Fort Wayne, IN
NPI 1740415595 · NPPES record last updated May 22, 2009
Key facts
- NPI
- 1740415595
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 909 E State Blvd
Fort Wayne, IN 46805-3404 - Phone
- (260) 481-2700
- Fax
- (260) 481-2709
- NPI assigned
- May 22, 2009
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
909 E State Blvd
Fort Wayne, IN 46805-3404
Mailing address
909 E State Blvd
Fort Wayne, IN 46805-3404
Phone (260) 481-2700
Other providers in Fort Wayne, IN
- Jill A. Baney
- Michael James Bangert
- Gregory M. Banicki
- Maegan Banicki
- Jakyria Monae-Tyree Banks
- Amanjit Kaur Banwait
- Philip Bao
- Matthew D. Barb
- Barbara'S New Beginnings,LLC
- Diana E Barbu
All providers in Fort Wayne, IN · Mental Health Counselor in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.