Active NPI
Regina Gail Midgett, LPC
- Professional Counselor
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7558
- Practice address
- 2002 Eastwood Rd
Ste 305
Wilmington, NC 28403-7218 - Phone
- (910) 509-0588
- NPI assigned
- Sep 28, 2006
- Last updated
- May 24, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 964 | MS | |
| Professional Counselor | 101YP2500X | 7558 | NC | Primary |
Addresses
Primary practice location
2002 Eastwood Rd
Ste 305
Wilmington, NC 28403-7218
Mailing address
1008 Canal Dr Apt 1B
Carolina Beach, NC 28428-6000
Phone (910) 386-6640
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6104734 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
720 N 3Rd St
Suite 401
Wilmington, NC 28401-3474
Phone (910) 769-9126
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 964 | MS | MD | Professional Counselor |
| 7558 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Ties of Brunswick, LLC | Professional | Current | Accepting new patients |
| Family Works Psychological Center, PLLC | Past | Accepting new patients | |
| East Coast Rehab Partners, PLLC | Past | Accepting new patients |
Locations
5320 Bridgers Rd
Ste 4
Shallotte, NC 28470
Phone (910) 754-4097
201 N Front St
Ste 704
Wilmington, NC 28401
Phone (910) 769-9126
720 N 3rd St
Ste 401
Wilmington, NC 28401
Phone (910) 769-9126
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
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- Clinical Psychologist
- Wilmington, NC
- NPI 1063488773
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337817600000",
"number": "1750472072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1008 CANAL DR APT 1B",
"city": "CAROLINA BEACH",
"state": "NC",
"postal_code": "284286000",
"telephone_number": "910-386-6640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 EASTWOOD RD",
"address_2": "STE 305",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284037218",
"telephone_number": "910-509-0588"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIDGETT",
"first_name": "REGINA",
"middle_name": "GAIL",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-28",
"last_updated": "2012-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MS",
"license": "964",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NC",
"license": "7558",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6104734",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
- Alexis G Michonski, MSW, LCSWA
- Susan Miciolek, PHARMACIST
- Danielle McCord Mickelonis, LCMHC, LCAS
- Melissa Middlebrook, LCSWA
- Vanness Middleton
- Midnight Bloom Mental Health and Wellness PLLC
- Midtown Speech & Language PLLC
- Karli Marie Miess, PA-C
- John Alexander Mihaltses, D.O.
- Timothy Hall Mihle, DDS, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.