Individual provider Active NPI

Regina Gail Midgett, LPC

  • Professional Counselor
  • Wilmington, NC
National Provider Identifier
1750472072
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7558 Issued in NC
Practice address
2002 Eastwood Rd
Ste 305
Wilmington, NC 28403-7218
Phone
(910) 509-0588
NPI assigned
Sep 28, 2006
Last updated
May 24, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
6104734MedicaidNC

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240923002551 NC Practitioner - Mental Health Counselor 5193127611 Reassigns benefits to 1 organization

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
Family Ties of Brunswick, LLCGroup PAC ID 7911309430, 8 clinicians

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

LicenseStateTypeSpecialty
964MSMDProfessional Counselor
7558NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Family Ties of Brunswick, LLC Professional CurrentSince Aug 1, 2024 Accepting new patients
Family Works Psychological Center, PLLC Past Accepting new patients
East Coast Rehab Partners, PLLC PastSince May 25, 2021 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.

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

Sources for this page

Verify at the official NPI Registry.