Active NPI
Regina Kerrigan, LCPC
- Professional Counselor
- Frederick, MD
National Provider Identifier
1750064705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LC16735
- Practice address
- 286 Montevue LN Ste 104
Frederick, MD 21702-8212 - Phone
- (240) 490-9511
- NPI assigned
- Aug 8, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LC16735 | MD | Primary |
Addresses
Primary practice location
286 Montevue LN Ste 104
Frederick, MD 21702-8212
Mailing address
PO Box 1316
Frederick, MD 21702-0316
Phone (240) 490-9511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jun 24, 2025 through Jun 24, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LGP14171 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1750064705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1316",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217020316",
"telephone_number": "240-490-9511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "286 MONTEVUE LN STE 104",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217028212",
"telephone_number": "240-490-9511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERRIGAN",
"first_name": "REGINA",
"credential": "LCPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-08",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC16735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.