Individual provider Active NPI

Regina M Lien, MS, LPC

  • Mental Health Counselor
  • Chippewa Falls, WI
National Provider Identifier
1740436823
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4017-125 Issued in WI
Practice address
345 Frenette Dr Ste 4
Chippewa Falls, WI 54729-3072
Phone
(715) 861-7762
Fax
(715) 861-7762
NPI assigned
Aug 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 4017-125 WI Primary

Addresses

Primary practice location

345 Frenette Dr Ste 4
Chippewa Falls, WI 54729-3072

Mailing address

4905 157TH St
Chippewa Falls, WI 54729-9004
Phone (715) 723-4130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20250805000798 WI Practitioner - Mental Health Counselor 4183132756 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
4017-125WIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Halcyon Wellness LLC CurrentSince Jun 29, 2016 Accepting new patients

Locations

345 Frenette Dr
Ste 4
Chippewa Falls, WI 54729
Phone (715) 861-7762

509 E South Ave
Chippewa Fls, WI 54729
Phone (715) 726-9077

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": "1218153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1740436823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 157TH ST",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547299004",
            "telephone_number": "715-723-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 FRENETTE DR STE 4",
            "city": "CHIPPEWA FALLS",
            "state": "WI",
            "postal_code": "547293072",
            "telephone_number": "715-861-7762",
            "fax_number": "715-861-7762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIEN",
        "first_name": "REGINA",
        "middle_name": "M",
        "credential": "MS, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-08",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "4017-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chippewa Falls, WI

Sources for this page

Verify at the official NPI Registry.