Organization Active NPI

Regenerate Therapeutics, LLC

  • Mental Health Counselor
  • Edmond, OK
National Provider Identifier
1760167902
Registry record updated Jun 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
REGENERATE THERAPEUTICS, LLC
Practice address
14020 N Western Ave Ste 103
Edmond, OK 73013-1977
Phone
(405) 633-0316
NPI assigned
Jun 15, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2023

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

Authorized official

Name
Wes Warner, LPCNPI 1457747636
Title
Clinical Director
Phone
(405) 633-0316

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

14020 N Western Ave Ste 103
Edmond, OK 73013-1977

Mailing address

14020 N Western Ave Ste 103
Edmond, OK 73013-1977
Phone (405) 633-0316

Other practice location 1

1625 Greenbriar Pl Ste 700
Oklahoma City, OK 73159-7646
Phone (405) 633-0316

Other names 1

  • Wes Warner, LPC Doing business as

National Provider Directory

National Provider Directory

Locations

14020 N Western Ave
Ste 103
Edmond, OK 73013
Phone (405) 633-0316

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1686787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1760167902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14020 N WESTERN AVE STE 103",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131977",
            "telephone_number": "405-633-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14020 N WESTERN AVE STE 103",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730131977",
            "telephone_number": "405-633-0316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1625 Greenbriar Pl Ste 700",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731597646",
            "country_code": "US",
            "telephone_number": "405-633-0316",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REGENERATE THERAPEUTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-15",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "WARNER",
        "authorized_official_first_name": "WES",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "405-633-0316",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wes Warner, LPC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Edmond, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.